中国骨伤2024，Vol.37Issue(4)：387-391,5.DOI:10.12200/j.issn.1003-0034.20231263
外踝关节扭伤后继发跗骨窦综合征的临床观察
Clinical observation of sinus tarsi syndrome after lateral ankle sprain
摘要
Abstract
Objective To study the incidence rate of sinus tarsi syndrome after lateral ankle sprain and observe the clinical efficacy of sinus tarsal corticosteroid injections.Methods From January 2021 to Janury 2022,391 patients with lateral ankle sprain and 88 patients with sinus tarsi syndrome using corticosteroid injections(compound betamethasone 1 ml+lidocaine hy-drochloride 4 ml)were retrospectively analyzed.There were 22 males and 66 females,aged from 29 to 60 years old with an av-erage of(41.00±7.52)years old,duration of the disease from 1 to 12 months with an average of(5.6±4.2)months.The visual analogue scale(VAS)and American Orthopedic Foot and Ankle Society(AOFAS)scores were collected before,1 month,3 months,6 months,and 12 months after treatment.Results All 88 patients completed a 12-month follow-up.The incidence rate of sinus tarsi syndrome after lateral ankle sprain was 22.5％.One month after treatment,VAS was 1.20±0.89,AOFAS score was 88.70±7.04.Three months after treatment,VAS was 1.60±1.35,AOFAS score was 85.20±10.95.Six months after treat-ment,VAS 2.35±1.39,AOFAS 80.30±9.75.Twelve months after treatment,VAS was 2.80±1.51,AOFAS score was 79.1±9.94.Significant differences were found before and after treatment at all four time points of follow-up(P＜0.05).Conclusion The re-sults of this study showed that the incidence rate of sinus tarsi syndrome after lateral ankle sprain was 22.5％.Corticosteroid injec-tions were effective in the short term with a 65％recurrence rate of symptoms within 1 year.For patients with no significant long-term effect of conservative treatment,clinicians may explore alternative approaches,including options like ankle arthroscopy.关键词
外踝关节扭伤/跗骨窦综合征/封闭治疗Key words
Lateral ankle sprain/Sinus tarsi syndrome/Corticosteroid injections分类
医药卫生引用本文复制引用
徐晓旭,张磊,姜博,孙晋,刘晓华,张晟,李妍..外踝关节扭伤后继发跗骨窦综合征的临床观察[J].中国骨伤,2024,37(4):387-391,5.基金项目
中国中医科学院科技创新工程重大攻关项目(编号:C12021A02009)Key Research Project of Science and Technology Innova-tion Project of China Academy of Chinese Medical Sciences(No.C12021A02009) （编号:C12021A02009）
