Experience of rehabilitation treatment for one patient with distal tibiofibular syndesmosis injury triad after the second surgery_West China Medical Journal

Authors：

JINChen ,  LIJing

Rehabilitation Center of National Sports Training Center, Beijing 100061, P. R. China;

Corresponding?author：

LIJing, Email: 376439479@qq.com

Keywords：

Distal tibiofibular syndesmosis; Lateral malleolus fracture; Triangular ligament; Internal fixation fracture; Rehabilitation

DOI：

10.7507/1002-0179.201508102

Video：

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Objective To investigate the rehabilitation treatment methods for distal tibiofibular syndesmosis injury triad after the second surgery. Methods We reported the postsurgical rehabilitation treatment for a 16-year-old male who received second surgery for internal fixation screw rupture on August 20th 2014, due to weight bearing too early after his first surgery in March 2014 for distal tibiofibular syndesmosis diastasis combined with lateral malleolus fracture, ligamenta talofibulare anterius and deltoid ligament rupture. The patient was treated in the Rehabilitation Center of National Sports Training Center on September 25th, 2014. By analyzing the rehabilitation assessment results, a secondary ankle impingement syndrome was detected and following modified treatments were implemented. Results At the end of the first course of treatment, right ankle muscle strength, range of motion and Y balance tests were all weaker than the left. At the end of the second course of treatment, all data were better than the first course. At the end of the third course, all data were close to normal value except the right leg forward squat. Conclusions Through comprehensive rehabilitation, assessment feedback and further treatment improvement, complex cases like distal tibiofibular syndesmosis injury triad after second injury can be well handled. However, more cases should be collected and investigated.

Citation： Jinchen, LiJing. Experience of rehabilitation treatment for one patient with distal tibiofibular syndesmosis injury triad after the second surgery. West China Medical Journal, 2017, 32(1): 12-16. doi: 10.7507/1002-0179.201508102 Copy

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10.	Thera-band Academy. Thera-band 漸進式訓練系統培訓講座資料匯編. 北京: 國家體育總局, 2008: 48-66.
11.	Thorpe DE, Reilly M. The effect of aquatic resistive exercise program on lower extremity strength, energy expenditure, functional mobility, balance and self-perception in an adult with cerebral palsy: a retrospective case report. Aquat Phys Ther, 2000, 8(1): 19-23.
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1. ?焦晨, 胡躍林, 郭秦煒, 等. 不同方法修復踝關節外側副韌帶慢性損傷的穩定性評價. 中國組織工程研究, 2013, 17(13): 2358-2367.
2. 范里, 陶海鷹, 彭昊, 等. 下脛腓聯合分離固定螺釘斷裂的治療. 中國骨傷, 2004, 17(8): 479-480.
3. 孫文新. 現代體能訓練-繩梯訓練方法. 北京: 北京體育大學出版社, 2011.
4. 周俊飛. 12 分鐘跑與 YOYO 訓練對男子足球運動員專項體能影響的比較研究. 武漢體育學院學報, 2010, 44(9): 97-100.
5. 張曉輝, 劉書芳, 廖八根. 不同訓練方法對運動員功能性踝關節不穩康復的影響. 中國運動醫學雜志, 2014, 33(6): 514-518.
6. 梁羽, 方躍, 姚相雨, 等. 踝關節骨折的治療現狀及進展. 華西醫學, 2014, 29(1): 172-178.
7. Manjoo A, Sanders DW, Teszer C, et al. Functional and radiographic results of patients with syndesmotic screw fixation: implications for screw removal. J Orthop Trauma, 2010, 24(1): 2-6.
8. 胡躍林. 2012 年全國隊醫運動創傷培訓資料匯編——踝關節扭傷繼發病損的關節鏡下表現及其治療. 上海: 國家體育總局運動醫學研究所, 2012: 101-103.
9. 李春鎮, 舒國建, 陳穎, 等. Thera-Band 漸進抗阻系統結合針刺、推拿治療慢性非特異性腰痛的療效觀察. 中國康復醫學雜志, 2013, 28(1): 51-53.
10. Thera-band Academy. Thera-band 漸進式訓練系統培訓講座資料匯編. 北京: 國家體育總局, 2008: 48-66.
11. Thorpe DE, Reilly M. The effect of aquatic resistive exercise program on lower extremity strength, energy expenditure, functional mobility, balance and self-perception in an adult with cerebral palsy: a retrospective case report. Aquat Phys Ther, 2000, 8(1): 19-23.
12. 邢丹, 宋東輝, 馬信龍, 等. 不穩定性下脛腓聯合損傷的診治研究進展. 中國骨與關節雜志, 2013, 2(7): 414-418.
13. 閔紅巍, 劉克敏. 踝關節前外側撞擊綜合征的研究進展. 中國康復理論與實踐, 2014, 20(3): 253-254.
14. Smith CA, Chimera NJ, Warren M. Association of Y balance test reach asymmetry and injury in division I athletes. Med Sci Sports Exerc, 2015, 47(1): 136-141.
15. 張猛, 葉銳彬, 段瑾. 粘膏支持帶對女籃運動員踝關節平衡及足底壓力影響的實驗研究. 成都體育學院學報, 2009, 35(8): 63-65.
16. 魏勇, 劉宇. 距骨下關節功能解剖和運動研究進展. 體育科學, 2008, 28(12): 62-68.

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