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- Arthur J. Nitz
- Department of Physical Therapy, University of Kentucky Medical Center, Lexington, Kentucky
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- Joseph J. Dobner
- Department of Orthopedics, University of Kentucky Medical Center, Lexington, Kentucky
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- Douglas Kersey
- Physical Therapy Clinic, Ireland Army Hospital, Fort Knox, Kentucky, University of Kentucky Medical Center, Lexington, Kentucky
書誌事項
- 公開日
- 1985-05
- 権利情報
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- https://journals.sagepub.com/page/policies/text-and-data-mining-license
- DOI
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- 10.1177/036354658501300306
- 公開者
- SAGE Publications
この論文をさがす
説明
<jats:p> Nerve injuries associated with inversion sprains of the ankle have been mentioned in the literature on a case presentation basis only. Sixty-six consecutive patients with Grade II (30) and Grade III (36) ankle sprains were examined by electromyography 2 weeks after injury to determine the presence and distribution of nerve inju ries. Ankle active range of motion (AROM) and the number of weeks postinjury when the patient could heel/toe walk and return to full activity were also noted. Five patients (17%) with Grade II sprains had mild peroneal nerve injury and three (10%) injured the tibial nerve. Clinical measurements were normal by the end of the second week. Thirty-one patients (86%) with Grade III sprains injured their peroneal nerve, while 30 (83%) incurred posterior tibial nerve injury. Ankle AROM was impaired, and heel/toe walking (5.1 weeks) and return to full activity (5.3 weeks) were markedly pro longed. The likely cause of this injury is considered to be a mild nerve traction or a hematoma in the epineural sheath at the bifurcation of the sciatic nerve into pero neal and posterior tibial branches. This report indicates that a consistently high percentage of patients with Grade III ankle sprains sustain a significant injury to both motor nerves in the leg and that rehabilitation time is markedly prolonged. </jats:p>
収録刊行物
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- The American Journal of Sports Medicine
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The American Journal of Sports Medicine 13 (3), 177-182, 1985-05
SAGE Publications
