傷科手法治療踝關節扭傷及後遺關節黏連

中醫門診中之骨傷科疾患，踝關節急慢性扭挫傷是極為常見的問題，而一般未曾受過骨傷科專業訓練的醫師在排除骨折、脫臼後，大多以針灸、內服中藥或兩者同用，發揮止痛消腫作用，而缺乏關節整復與復健的觀念與技術來治療病患，因此使得相當比例的病患不是遷延不癒，就是容易復發，甚至造成關節黏連，常影響生活品質及工作效率，此一現象已成為重要的醫療課題。筆者本身在骨傷專科學習階段，試圖將先進前輩之技術、經驗，與現代醫學觀點結合，期許在骨傷專科之傳承與教學方面，能達到更清晰、更容易學習與臨床操作的理想與目標。本文將深入介紹踝關節之動靜態解剖學與生物力學，並說明其遷延不癒，容易復發，甚至造成關節黏連之學理與相關治療，希望能提供更清晰的思路及治療模式給臨床醫師與病患。

關鍵字

踝關節扭挫傷；關節黏連；手法整復治療

並列摘要

It is an extremely common question that the ankle joint sprains urgently and chronically in the traumatology's illness of the traditional Chinese medical department. Usually, the doctor who ever got the training of professional traumatology will give the patient acupuncture and moxibustion, traditional Chinese medicine or the two together for the function of stopping the pain and subside a swelling, after rule out the fracture or dislocation of the ankle joint. Somehow, the problem of the patient will either delays and does not heal, or becoming joint ankylosis, often influence quality of the life and working efficiency. This phenomenon has already become the important medical subject. The writer attempts to combine with the modern medical opinion, expect the training and teaching of the traumatology be easier and more clearly, reaching the clinical ideals. This article will introduce the anatomy and biomethanics of the ankle joint deeply, and state the reasons why the injury delays and does not heal, or joint ankylosis, hoping to offer clearer thinking process and treatment for the clinicians and patients.

並列關鍵字

Ankle sprain ； Joint ankylosis ； Manipulation

國際替代計量

傷科手法治療踝關節扭傷及後遺關節黏連

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