Ankle ligament tear is quite common in daily life. For example, if you move too vigorously or sprain your ankle while walking, it may cause ligament tear. This is a relatively serious injury. As an individual, there is generally no way to determine whether a ligament tear has occurred. At this time, you should go to the hospital for an X-ray examination and receive timely treatment to avoid causing greater harm. Self-diagnosis of ankle ligament rupture 1. Lateral ligament injury: Caused by forceful inversion of the foot. Because the lateral malleolus is longer than the medial malleolus and the lateral ligament is weak, the foot has a greater range of inversion motion, and lateral ligament injury is more common in clinical practice. Partial tear of the lateral ligament is more common, and its clinical manifestations are pain and swelling on the lateral side of the ankle, limping when walking; sometimes subcutaneous hematoma can be seen; there is tenderness in the lateral ligament area; when the foot is inverted, the pain in the lateral ligament area is aggravated. Complete rupture of the lateral ligament: less common, with more obvious local symptoms. Abnormal varus range of motion may occur due to loss of lateral ligament control. Sometimes a small piece of bone and ligament are torn off from the lateral malleolus, which is called an avulsion fracture. When taking radiographs in the varus position, the inclination of the tibiotalar joint surface far exceeds the normal range of 5 to 10 degrees, and the joint space on the injured side is widened. 2. Medial ligament injury: It is caused by forceful eversion of the foot and occurs less frequently. Its clinical manifestations are similar to those of lateral ligament injury, but the location and direction are opposite. Symptoms include pain, swelling, tenderness, and eversion of the foot in the medial ligament area, which may cause pain in the medial ligament area and may also result in avulsion fracture. Treatment Ligament injury should be diagnosed and treated promptly. Immediately after the injury, you should apply braking and local cooling to delay and reduce swelling and bleeding, and at the same time provide pain relief and go to the hospital for treatment in time. 1. Fixation: Use a splint or plaster to fix the damaged joint in a functional position. For minor injuries to the lateral ankle ligament, functional exercises can usually be performed after 3 days, while for severe cases with bone fractures, at least 2 to 4 weeks are required. 2. Drug treatment is generally applied externally. 3. Physical therapy emphasizes accurate diagnosis, early treatment, and comprehensive repair. The basis for early treatment is accurate diagnosis, and the requirement for treatment is comprehensive repair. Otherwise, any remaining unrepaired ligament damage is a potential source of instability, ultimately leading to advanced symptoms. Some injuries can be repaired directly, but severe injuries require repair with adjacent tendons, fascia and other tissues. The most representative ligament injuries are knee ligament injuries and ankle collateral ligament injuries. 4. Acupuncture treatment is not limited by the duration of injury, so the treatment is more flexible. 5. Massage and physical therapy generally cannot be performed within 24 to 48 hours after injury to prevent swelling or bleeding from worsening. |
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