Ben Wang, May 09 hearing, 32-year-old Liu Yuan, has been depressed for the right ankle and depressed. Two years ago, her right ankle was accidentally sprained when she went downstairs. There was no abnormality after taking an X-ray. At that time, the doctor suggested that the cast should be fixed. She did not think there was a fracture. It didn't matter. There was no fixation. However, walking and walking often feel bad after the improvement, has now become habitual, can not run, always afraid of falling in the face of uneven road. Three days ago, she twisted again when she walked, causing her ankle to swell and went to the hospital for orthopaedic examination. The doctor told her that she had chronic instability of the ankle joint.
The habitual sprain caused by an ankle sprain without timely diagnosis and treatment is common in outpatient clinics.
The vast majority of patients in daily life are middle-aged and young women. They are not unrelated to wearing high heels. Downstairs, down stairs, and sudden running are common causes of injury. Some people think that lameness is only a sinews, as long as the swollen dissatisfaction is good, fear of trouble and not willing to go to the hospital for timely treatment. I wonder if this will delay diagnosis and treatment, and sometimes leave serious troubles, resulting in chronic instability of the ankle joints, manifested as habitual sprains, some patients will produce intractable pain.
Ankle joint sprains often cause injury to the ligaments of the ankle due to the internal force, valgus, and torsion pulling the external force. Because the lateral ligament of the ankle is weaker than the medial ligament, 90% of the lesions occur in the lateral ligament. When the foot turns inward, it mainly causes the lateral achilles tendon ligament, tearing or breaking of the calcaneal ligament, resulting in pain, swelling, and sometimes can be heard. And "click" sound. Ankle sprains are clinically divided into acute injuries and chronic injuries. Acute minor ligament tear injury can be self-healed after rest and cold compress. If the acute severe ligament rupture injury is not treated or treated incomplete, the ruptured ligament is not easy to recover. The state, after being healed, is stretched like a rubber band, losing its tenacity and tension, and prolonged will cause a habitual ankle sprain. According to research, 10% to 30% of acute ankle sprains will develop chronic ankle instability, not only often love to stomp their feet, but also walk for a long time in the ankle instability, the articular cartilage is easy to wear and damage, can also lead to Ankle joint traumatic arthritis, walking pain, reduce the quality of life of patients. Therefore, ankle sprains should be diagnosed early and treated correctly.
Ankle sprains are not minor problems. In the event of sprains, such as localized swelling and pain, local cold or ice may be taken within 24 hours to reduce walking and observe recovery. If you observe at home for 3 days to 4 days, the swelling does not disappear, you need to go to the hospital to check and eliminate the fracture. If the soft tissue damage can be oral phlegm and swelling, gas analgesic Chinese patent medicine such as Sanqi tablets, Yunnanbaiyao, etc., and use elastic bandages, brace or plaster for external fixation for 3 weeks to prevent the formation of chronic instability of the ankle joint, which can be avoided Left behind. Once the chronic injury develops into a habitual joint instability, the light can be used to protect the sacrum or raise the posterior lateral side of the sole to prevent varus injury. Serious cases require minimally invasive surgery - arthroscopic lateral ligament reconstruction.
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