急性踝关节扭伤致韧带损伤的流行病学及临床特征
Epidemiology and Clinical Features of Ligament Injury Resulting from Acute Ankle Sprain
赵安琪 1耿丰勤 2付卓 2付嘉好 3许派 1沈素红2
作者信息
- 1. 河南中医药大学第三临床医学院,河南郑州 450046
- 2. 河南省洛阳正骨医院,河南省骨科医院功能检查科,河南洛阳 471002
- 3. 湖南中医药大学研究生院,湖南长沙 410208
- 折叠
摘要
目的 探讨基于超声检查的急性踝关节扭伤致韧带损伤的流行病学特点及临床特征,为超声诊断此类疾病提供依据.方法 回顾性分析2022年3月至2023年3月期间在河南省洛阳正骨医院(河南省骨科医院)经高频超声诊断为急性踝关节扭伤致韧带损伤的856例患者的临床资料,总结各韧带损伤的人口学分布情况,并分析不同程度韧带损伤的侧别、性别及年龄的差异.结果 856例患者中,男性445例,女性411例,平均年龄(29.45±17.84)岁,以累及距腓前韧带的发病率最高(96.8％),合并跟腓韧带损伤最多见(36.2％),且各韧带均以Ⅰ型损伤发病率最高.累及距腓前、跟腓及下胫腓前韧带损伤患者中,侧别差异均无统计学意义(P＞0.05),累及三角韧带损伤患者中,侧别差异有统计学意义(P＜0.05);累及距腓前、跟腓及三角韧带损伤患者中,男性较女性发病率更高(P＜0.05);累及距腓前及下胫腓前韧带损伤的患者中,年龄差异均有统计学意义(P＜0.05),距腓前韧带损伤以中青年组的发病率最高(36.1％),下胫腓前韧带损伤以中老年组发病率的最高(31.5％).结论 急性踝关节扭伤致韧带损伤时最常累及距腓前韧带,男性较女性发病率高,中青年组(18～36岁)发病率高,各韧带损伤均以Ⅰ型发病率最高.
Abstract
Objective To investigate the epidemiological and clinical features of ligament injuries resulting from acute ankle sprain based on ultrasound examination and provide a basis for ultrasound diagnosis of such diseases.Methods We analysised the clinical data of 856 patients of ligament injuries caused by acute ankle sprain diagnosed by high-frequency ultrasound in Luoyang Orthopedic Hospital of Henan Province from March 2022 to March 2023 retrospectively,summarized the demographic distribution of each ligament injuries and analyzed the differences between ligament injuries type and injuried side,sex and age.Results Among the 856 patients,there were 445 males and 411 females.The average age were(29.45±17.84)years.The anterior talofibular ligament involvement had the highest incidence(96.8％),and anterior talofibular ligament and calcaneofibular ligament injuries simultaneously was the most common(36.2％).Every ligament had the highest incidence of type Ⅰ injury.There was no significant difference between both sides in patients with anterior talofibular ligament,calcaneofibular ligament and anterior tibiofibular ligament injury(P＞0.05),but there was significant difference between both sides in patients with deltoid ligament injury(P＜0.05).Patients with anterior talofibular ligament,calcaneofibular ligament,and deltoid ligament injuries were higher incidence in male than in female(P＜0.05).In patients involving anterior talofibular ligament and anterior tibiofibular ligament injury,the age difference was significant(P＜0.05).The highest incidence of anterior talofibular ligament injuries in the young and middle-aged group(36.1％).And the highest incidence of anterior tibiofibular ligament injuries in the middle-aged and elderly group(31.5％).Conclusion Acute ankle sprain resulting ligament injury most frequently involves anterior talofibular ligament and has a higher frequently in males than in females.The young and middle-aged group(18～36)has a high incidence rate.The ligament injuries of type Ⅰ have the highest incidence.
关键词
急性踝关节扭伤/韧带损伤/超声/流行病学/临床特征Key words
acute ankle sprain/ligament injury/ultrasound/epidemiology/clinical features引用本文复制引用
基金项目
河南省二〇一八年科技发展计划(182102310491)
洛阳市科技计划医疗卫生项目(2018)(1830002A)
出版年
2024
NETL
NSTL
维普
万方数据