《踝关节稳定和运动协调障碍:踝关节外侧韧带扭伤2021版》临床实践指南解读

来源 :足踝外科电子杂志 | 被引量 : 0次 | 上传用户:hmlsuper
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
踝关节外侧韧带扭伤(lateral ankle ligament sprains)是临床中最常见的运动损伤之一.踝关节外侧韧带扭伤的患者首次急性损伤后可在12个月或更长的时间内出现足踝部不稳定的症状,这类患者被定义为慢性踝关节不稳(chronic ankle instability,CAI).2021年美国物理治疗协会(American Physical Therapy Association,APTA)骨科物理治疗学会发布《踝关节稳定和运动协调障碍:踝关节外侧韧带扭伤2021版》临床实践指南(以下简称为指南),该指南针对踝关节外侧韧带扭伤的分类、诊断和治疗等方面制定了推荐意见.本文通过对该指南的研读及近几年相关研究的综述,为医务人员后续相关研究明确方向和提供临床治疗思路.
其他文献
高磷血症是导致慢性肾脏病及终末期肾脏病患者血管钙化的独立危险因素.在高磷环境的刺激下,血管平滑肌细胞可表达Runt相关转录因子2(Runx2),促进血管平滑肌细胞向成骨样细胞转化.而微小RNA (miRNA)可通过转录后负性调控靶细胞Runx2表达起到促进或抑制血管钙化的作用.本文对在高磷状态下与血管平滑肌细胞产生Runx2相关的miRNA的研究进行综述.
由于左右侧结肠胚胎学来源不同,因此其预后是否不同引起了关注.关于左右侧结肠癌预后的研究发现整体上右侧结肠癌的预后较差,但不同分期的情况并不一致.左右侧Ⅰ期结肠癌的预后差异并无统计学意义;在Ⅳ期结肠癌患者中,右侧预后较差;而对Ⅱ期和Ⅲ期结肠癌患者预后的研究则尚无统一定论.明确不同分期两侧结肠癌预后的差异有助于疾病的治疗及对预后的评估.
改善病情抗风湿药(DMARDs)包括传统合成DMARDs、生物DMARDs和靶向合成DMARDs,近年来多项研究发现这一类药物也同样具有广泛的抗病毒作用,甚至具有治疗新型冠状病毒感染的可能.DMARDs通过多种复杂机制对病毒产生抑制作用,涉及了多个靶点和通路,如白细胞介素6信号通路、氧化还原通路、JAK通路等,在治疗病毒感染方面具有非常广阔的前景,现有的研究拓展了DMARDs药物的应用范围,使其有望成为一类独特的抗病毒药物.
Background::Dense exudate during the calcification of cerebral cysticercosis in basal subarachnoid space was easy to be misdiagnosed as subarachnoid hemorrhage (SAH); clinical evaluation and MRI can help differentiate SAH from pseudo-SAH.Case presentation
Background::Indocyanine green video angiography (ICG-VA) is a safe and effective instrument to assess changes in cerebral blood flow during cerebrovascular surgery. After ICG-VA, FLOW 800 provides a color-coded map to directly observe the dynamic distribu
Background::The COVID-19 novel coronavirus is contagious, and the mortality is higher in the elderly population. Lockdown in different parts of the world has been imposed since January 2020. Chronic subdural haematoma (cSDH) has a unique natural history i
Background::Blister-like aneurysms (BLAs) on the supraclinoid segment of the internal carotid artery (ICA) are an enigma of cerebrovascular disease. Neither has a definite pathogenesis been so far identified, nor have uniform treatment guidelines been est
Background::Neuronavigation is a very beneficial tool in modern neurosurgical practice. However, the neuronavigation is not available in most of the hospitals in our country raising the question about its importance in localizing the calvarial extra-axial
Background::Despite advances in decompressive craniectomy (DC) for the treatment of traumatic brain injury (TBI), these patients are at risk of having a poor long-term prognosis. The aim of this study was to predict 1-year mortality in TBI patients underg
Chronic subdural hematoma (CSDH) is a chronic space-occupying lesion formed by blood accumulation between arachnoid and dura mater, which is usually formed in the third week after traumatic brain injury. Surgical treatment is usually the first choice for
期刊