摘要
Abstract
Objective:To investigate and analyze the musculoskeletal ultrasonography of patients with lateral collateral ligament injury of ankle joint and its significance in evaluating the rehabilitation effect.Methods:78 patients with lateral ankle collateral ligament injury who received rehabilitation treatment in Hongxing Hospital of the 13th Division of Xinjiang Production and Construction Corps from January 2020 to October 2022 were selected as the study objects.All patients were given arthroscopic surgery and musculoskeletal ultrasound to observe the imaging characteristics.At the same time,all patients were given acupuncture and massage rehabilitation treatment,to determine the rehabilitation effect and correlation analysis.Results:Of the 78 patients,34 were diagnosed with tendon injury,45 with joint effusion,13 with fracture,and 23 with talar articular cartilage disease.Clinical classification:TypeⅠinjury 32 cases,type Ⅱ injury 28 cases,type Ⅲ injury 18 cases.Musculoskeletal ultrasonography showed tendon injury in 31 cases,articular effusion in 40 cases,fracture in 11 cases,talar articular cartilage disease in 20 cases.Clinical classification:TypeⅠinjury in 35 cases,type Ⅱ injury in 24 cases,type Ⅲ injury in 19 cases.The diagnostic accuracy of musculoskeletal ultrasound was 91.2％,88.9％,84.6％and 97.0％for tendon injury,joint effusion,fracture and talar articular cartilage disease,respectively,the diagnostic accuracy of musculoskeletal ultrasound for clinical classification was 89.7％.All 78 patients completed rehabilitation,and the American Foot and Ankle Association(AOFAS)scores of all patients were significantly higher after 3 months of rehabilitation than before rehabilitation,with statistical significance(P<0.05).Spearman analysis showed that the ankle AOFAS score 3 months after recovery was correlated with tendon injury,fracture,talus articular cartilage disease,joint effusion and clinical classification of musculoskeletal ultrasound(P<0.05).Conclusion:Musculoskeletal ultrasound of patients with lateral collateral ligament injury of the ankle has high accuracy in clinical classification and injury characteristics,and is correlated with the AOFAS score of patients with ankle joint,which can effectively guide the evaluation of rehabilitation effects.关键词
踝关节外侧副韧带损伤/肌骨超声/临床分型/踝关节AOFAS评分/康复效果Key words
Lateral collateral ligament injury of ankle joint/Musculoskeletal ultrasound/Clinical classification/Ankle AOFAS score/Rehabilitation effect分类
医药卫生
