대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제25권1호
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  • Pages.6-9
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  • 2021
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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외측 발목 불안정성을 치료하지 않으면 어떻게 되는가

What Happens without Treating Chronic Lateral Ankle Instability

  • 우승훈 (부산대학교 의과대학 양산부산대학교병원 정형외과학교실) ;
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Woo, Seung Hun (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) ;
  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2020.12.19
  • 심사 : 2021.01.19
  • 발행 : 2021.03.15
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초록

The term chronic lateral ankle instability (CLAI) embraces a spectrum of conditions that involve functional and mechanical instability, both in athletes and lower-demand patients. The hallmarks of CLAI are recurrent sprains, persistent pain, and repeated episodes of the ankle giving way. CLAI is the main complication of acute ankle sprains, which can cause discomfort in daily and sports activity. Approximately 10% to 30% of patients with acute ligament ruptures will develop chronic instability over the course of a year from the index injury. An accurate diagnostic approach and successful treatment plan should be established based on a comprehensive understanding of the concept of functional and mechanical instability. Unfortunately, the optimal modality for the management of CLAI is unclear. Even after conservative treatment or surgical intervention, it could result in degenerative changes to the ankle joint in the long term. Thus far, the incidence of ligamentous posttraumatic ankle osteoarthritis was reported to be 13% to 78%. The mean latency time between injury and osteoarthritis was at least 10 to 34.3 years. CLAI is an important pathological condition that can cause discomfort or dysfunction in daily activity in the short term, resulting in joint destruction in the long term. Therefore, it is important to understand the various complications that can occur when CLAI is not treated properly.

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