Nerve injury and grades II and III ankle sprains

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Bibliographische Detailangaben
Deutscher übersetzter Titel:Nervenverletzung und Fussverstauchungen 2. und 3. Grades
Autor:Nitz, Arthur J.; Dobner, Joseph J.; Kersey, Douglas
Erschienen in:The American journal of sports medicine
Veröffentlicht:13 (1985), 3, S. 177-182, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:0363-5465, 1552-3365
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Erfassungsnummer:PU198506024475
Quelle:BISp

Abstract

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 injuries. 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 prolonged. The likely cause of this injury is considered to be a mild nerve traction or a hematoma in the epineural sheath at be bifurcation of the sciatic nerve into peroneal and posterior tibial branches. Verf.-Referat