Sacroiliac joint sprain or subluxation
Introduction
Introduction to ankle sprain or subluxation The ankle joint is composed of the auricles of the tibia and the tibia, and the joint surface is uneven, and the combination between the two is very close. The joint capsule of the ankle joint is tensioned. There are anterior tibiofibular ligament, posterior tibial ligament, iliac nodular ligament and sacrospinous ligament between the anterior and posterior ankle joints, and the ligament of this group is strong, so almost Can't move. The ankle joint is structurally a synovial joint with only minimal activity and plays an important role in pregnancy and childbirth. Ankle sprain is a damage caused by external force causing the ligament around the joint to be pulled, and the joint may be displaced due to loosening of the ligament, and pain of different degrees may occur. This condition is called ankle joint clinically. Subluxation, the disease is mostly acute, often severe symptoms can not stand, even in bed do not dare to move. A few can also be converted to a chronic course, which can last for several months. basic knowledge The proportion of illness: 0.005%-0.007% Susceptible people: no specific population Mode of infection: non-infectious Complications: urethral syndrome
Cause
Ankle sprain or subluxation cause
(1) Causes of the disease
Most of them are related to acute sprains or labor in a bad position for a long time.
(two) pathogenesis
Most of the causes of ankle sprain or subluxation are related to acute sprain or long-term work in a bad position. When the human body is upright, the gravity center line generates a certain torque through the front of the ankle joint; when the front bends, the front of the spine Tilting, pelvic hamstring muscle traction or posterior rotation, easy to cause ankle sprain or strain, in addition, due to the secretion of progesterone during pregnancy can relax the ligament and gain weight, causing the pelvis to tilt forward and downward, causing damage, in addition The cause of iatrogenic injury is mainly when the bone grafting is performed on the posterior part of the iliac crest. If the range is too large, the ankle joint instability may be caused by the destruction of the iliac ligament.
Prevention
Ankle sprain or subluxation prevention
first-aid:
After the sprain, apply cold water or use plastic bags to put ice and ice water on the injured area. At the same time, it must be bandaged and the injured limb should be raised properly. This can cause the capillaries of the wound to shrink and reduce local bleeding and swelling. After 2-3 days of cold application, start hot compress. Hot packs are generally available in a cupping method. The hot compress can be properly wounded at the same time. Of course, you can also go to the hospital to treat with acupuncture, and the effect is better. After a sprain, do not rush to work, otherwise it will aggravate the condition. You should take a good rest for a while and step up treatment.
Complication
Ankle sprain or subluxation complications Complications urethral syndrome
1. Lumbar degeneration.
2. Urethral syndrome.
3. Ankle osteoarthritis.
Symptom
Ankle sprain or subluxation symptoms Common symptoms Articular sprain sulcus sulcus squat gait lumbar disc herniation
Most of the patients were seen in severe physical activity. After trauma or sedentary, a small number of patients had no significant history of trauma.
In the acute attack period, pain may occur on the lower lumbar side, which is more serious and can be radiated to the buttocks or groin area; however, it is generally not transmitted to the calf nerve distribution area of the sciatic nerve. Patients often take the lateral or prone position, and the pain is increased when turning over. , refuse to stand, or take the flexion posture of the lower limbs. When walking, the affected side often has a gait sag.
At the time of physical examination, there may be localized tenderness at the ankle joint, limited leg elevation, and ankle pain, pelvic separation test, "4" Patrick test, antagonistic hip abduction test and prone leg lift (Yeomen) tests are positive, and other activities that can promote the rotation of the humerus can cause pain in the affected limb, but no radiculopathy.
There is no specific change in the early stage of X-ray examination, but inflammation of the ankle can occur in the later stage.
Examine
Ankle sprain or subluxation
Although X-ray examination has no specific changes, it can exclude other diseases.
Diagnosis
Diagnosis of ankle sprain or subluxation
The diagnosis of this disease mainly depends on the history, symptoms and signs. X-ray examination can rule out other diseases, but it should be noted that the pain in the ankle joint can also be caused by lumbar disc herniation, inflammation of the lumbosacral joint itself, degeneration and hyperplasia. Symptoms with similar performance, therefore, the disease should be differentiated from diseases such as lumbosacral arthritis.
