In life, often a careless person will break his foot, what will you do then? Many people feel that it is a trivial matter after the foot, and it has not attracted enough attention at all, in fact, 80%-90% of the patients after the foot are accompanied by injury or tearing of the ankle ligament. If not handled properly, the ankle is unstable, and eventually the habitual foot has to be treated surgically.
One
The ankle joint is prone to injury and the misdiagnosis rate is very high
1 Ankle – The most vulnerable joint
The ankle joint is one of the most commonly used joints in our body when exercising, and it is also one of the most important weight-bearing joints. About 1/4 of the world's population is suffering from foot and ankle disease to varying degrees. Among them, sports injuries to the ankle joint are very common. In particular, injury of ligament injuries in the ankle joint occupy the first place among all joint ligament injuries. Moreover, it can occur in any kind and any form of ankle movement, but it mainly comes from twist of ankles.
Ankle joint in the plantar flexion, that is, when we do the action of tiptoeing, the ankle joint in the inner talus will slide out of the ankle cavity, this time because there is no fixation of the inner and outer ankles, the ankle joint only relies on the two sides of the ligament belt to maintain stability, so it becomes "flexible and more than enough, insufficient stability", it is easy to sprain when subjected to external force; in addition, the medial ligament of the ankle joint is tougher than the lateral ligament, and the human outer ankle is lower than the inner ankle, which causes the ankle joint to be unbalanced by the force and easy to sprain.
Two
What are the consequences of ankle sprains that are not treated in time?
After the ankle sprain, if it is not handled well, it will evolve into a "habitual foot", which not only makes women who love beauty say goodbye to high heels, but also allows men who love sports to say goodbye to the sports field, and let the elderly bear the great risk of falling and fractured.
And the foot will also make the lateral ligament of the ankle broken or strained, if it is a habitual foot, then the soft tissue on the outside of the ankle can not restore its original strength in time, which will lead to loose and unstable ankle joint.
Three
Ankle repair surgery ~ 2 months to run
After ankle ligament repair, you can run for 2 months, and you can play strenuous sports such as basketball for 3 months.
Currently, patients play ball with ankle pads after surgery
Hearing this may surprise you patients, but in fact, you don't have to. Although this is also a ligament repair surgery, it is indeed very different from the rehabilitation process of the anterior cruciate ligament surgery of the knee joint. Anterior cruciate ligament surgery usually takes 3 months to jog, and about 10 to 12 months to vigorously engage in confrontational activities.
Lateral ankle ligament repair after such a quick recovery, is not a magical thing, is mainly because everything is anatomical basis, according to the anatomy of the ankle joint, (below) the ankle is a saddle-like structure, it is born with a tendency to self-stability, after ligament repair, the tension of the lateral ankle ligament is far less than the tension of the anterior cruciate ligament in the knee joint.
The knee joint is characterized by the femur sitting on the tibia, as if it were a tumbler, (pictured below) thanks to its meniscus and medial collateral ligaments around it to help him maintain stability, but it is also far less stable than the ankle joint, which is so naturally stable.
So the anterior cruciate ligament requires a long recovery time, of course, this is only one of the important factors and not the whole factor. There are many such examples in the clinic, in general, the repair of the less serious lateral collateral ligament, it can also be said that most of the repair surgery of the lateral collateral ligament, the patient can return to normal life in two months after surgery, and the general problem of running and jumping for three months is not big, so the patient does not have to worry.
Four
What should I do if I encounter an ankle sprain in real life?
The first is the RICE principle:
R: Is an abbreviation of English REST, which means that immediately after injury, the movement should be stopped, the brake rest should be stopped, and the repeated injury should be prevented and the injury should be aggravated.
I: It is an abbreviation for ICE in English, which means to be iced immediately. Ice is critical in the early stages of a sports injury.
C: Is the English abbreviation of English INTERPRETION, which means pressurized bandage. After ice application, the affected area should be pressurized and bandaged in time to control the movement of the injured part, avoid repeated injury movements, and reduce bleeding and exudation. In China, we sometimes have to apply external chinese medicines such as wound medicines to stop bleeding and pain to control swelling, which is our advantage and special place in China.
E: It is an abbreviation of ENGLISH ELEVASION, which means to elevate the affected area and to reduce bleeding and exudation.
So, is ankle sprain enough with the RICE principle? Obviously, RICE is just a principle of emergency management of ankle sprains (within 24-48 hours), so what should be done next? For example, which patients need to be fixed? Which patients require surgery?
Personal advice is to go to the regular hospital as soon as possible to find a specialist doctor to see, the photo, preferably MRI, because the ligaments in the X-ray do not develop, MRI is OK. Of course, some very professional doctors can check it even without looking at the film through palpation.