ankle sprain

Talar tilt test(CFL test)

A grade I sprain (걸을때 경미하게 아프다)

· mild stretching of a ligament with microscopic tears.

· mild swelling and tenderness.

· no joint instability on examination,

· able to bear weight and ambulate with minimal pain.

· Due to their benign nature, these injuries are not frequently seen in the office.

A grade II sprain(걸으면 많이 아프다)

· incomplete tear of a ligament.

· moderate pain, swelling, tenderness, and ecchymosis.

· mild to moderate joint instability on exam

· some restriction of the range of motion and loss of function.

· Weight bearing and ambulation are painful.

A grade III sprain (걷지 못함)

· a complete tear of a ligament

· severe pain, swelling, tenderness, and ecchymosis.

· significant mechanical instability on exam

· significant loss of function and motion.

Patients are unable to bear weight or ambulate.

치료

Early treatment includes RICE (rest, ice, compression, elevation) 2~3일

고정 :

grade 1 : ankle sprains do not require immobilization, elastic wrap for a few days면 충분하다

grade 2 : The combination of an elastic wrap and an Aircast™ splint for up to a few weeks is generally sufficient.

grade 3 : controversal

정형외과학6판---------------

제1도 : 인대 섬유의 부분 파열 및 인대내 출혈등 불안정성이 없는 경한 손상

제2도 : 약간의 불안정성을 야기할 정도의 인대의 불안전 손상

제3도 : 인대의 완전 파열

grade1 : 관찰, 단순압박 붕대, 혹은 반창고고정

grade2 : 3~4주간의 석고 부목 고정이나, 단순 압박붕대로 고정하고 조기 운동

grade3 : 4~6주간의 석고고정 , 손상당시 심한 불안정성이 있거나, 운동선수, 활동적인 젊은이에서는 인대복구를 위한 수술을 하기도 한다.

정형외과학6판---------------