Современные представления о патогенезе хронической нестабильности голеностопного сустава. Обзор литературы
РАЗНОЕ
Дата публикации: ноября 26, 2018
Ключевые слова
голеностопный сустав
связки
травма
нервно-мышечный контроль
мышечные рецепторы
связки
травма
нервно-мышечный контроль
мышечные рецепторы
Как цитировать
Куров М. А., Голубев В. Г. Современные представления о патогенезе хронической нестабильности голеностопного сустава. Обзор литературы // Кремлевская медицина. Клинический вестник. 2018. Т. 1. № 4. С. 98-106.
Аннотация
Изучение механизма, определяющего развитие и клинические особенности хронической посттравматической нестабильности голеностопного сустава, является одним из важных направлений травматологии и ортопедии, особенно у спортсменов и лиц с активным образом жизни. Травматические повреждения связок голеностопного сустава влекут за собой тяжелые нарушения функции опоры и движения в суставе, в 2040% случаев приводят к развитию клинической картины хронической нестабильности голеностопного сустава, к длительной нетрудоспособности, инвалидности, прекращению профессиональной и спортивной карьеры. Механогенез повреждений связочного аппарата голеностопного сустава сложен и обусловлен множеством факторов. Рецидивы повреждения связок приводят к снижению мышечной силы, регистрируется задержка времени отклика мышцы и недостаточность проприоцептивных рецепторов. В обзоре представлены обобщенная информация и анализ литературы по современным аспектам механизма повреждений связок и патогенеза хронической нестабильности голеностопного сустава, в основе которого лежат изменения на уровне проприоцептивных рецепторов мышц. Нашло отражение отношение авторов к исследованиям нервно-мышечного механизма как важного фактора стабилизации связок сустава. Кроме того, кратко освещены современные подходы к методам реабилитации при функциональной нестабильности голеностопного сустава, которые характеризуются высокой эффективностью и оказывают комплексное и многостороннее положительное воздействие на течение заболевания у пациентов с данной нозологией.Литература
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9. Kerkhoffs G.M., Kennedy J.G., Calder J.D., KarlssonJ. There is no simple lateral ankle sprain. Knee Surg. SportsTraumatol. Arthrosc. 2016; 24 (4): 941–943.DOI: 10.1007/s001670164043z.
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21. Witchalls J., Waddington G., Blanch P., Adams P. Ankle instability effects on joint position sense when stepping across the active movement extent discrimination apparatus. J. of Athletic Train. 2012;47(6): 627–634. PMID: 23182010.
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23. Aynardi M., Pedowitz D.I., Raikin S.M. Subtalar instability .Foot ankle Clin. 2015; 20: 243–252. PMID: 26043241.
24. Ferran N.A., Oliva F., Maffulli N. Ankle instability. Sports.Med. Arthrosc. 2009; 17: 139–145.
25. McKeon P.O., Ingersoll C.D., Kerrigan D.C., Saliba E.,Bennett B.C.,Hertel J. Balance training improves function and postural control in those with chronic ankle instability. Med. Sci. Sports Exerc.2008; 40: 1810–1819. PMID: 18799992.
26. Schwieterman B., Haas D., Columber K., Knupp D., CookC. Diagnostic accuracy of physical examination tests of the ankle/footcomplex: a systematic review. International journal of sports physical therapy. 2013; 8(4): 416–426.PMID: 24175128.
27. Waterman B.R., Belmont P.J., Cameron K.L. et al. Risk factors for syndesmotic and medial ankle sprain: role of sex, sport and level of competition. Am. J. Sports. Med. 2011; 39(5): 992–998.DOI: 10.1177/0363546510391462.
28. Barg A., Knupp M., Hintermann B. Post traumatic medial ankle instability. Suomen. Orthop. Traumatol. 2013; 36: 58–62.
29. Fong D.T., Hong Y., ShimaY. et al. Biomechanics of supination ankle sprain: a case report of an accidental injury event in the laboratory. Am. J. Sports. Med. 2009; 37(4): 822–827.DOI: org/10.1177/0363546508328102.
30. Funk J.R. Ankle injury mechanisms: lessons learned from cadaveric studies. Clin. Аnat. 2011; 5: 350–361. DOI: 10.1002/ca.21112.
31. Kwon J., Chacko A.T., Kadzielski J.J. et al. Appleton PT, Rodriguez EK. A novel methodology for the study of injury mechanism: ankle fracture analysis using injury videos posted on You Tube.com. J. Orthop. Traum. 2010; 24(8): 477–482. DOI: 10.1097/BOT.0b013e3181c99264.
32. Bouche R.T., Richie D., Garrick J.G., Schuberth J.M. Lateral ankle instability. Foot Аnkle Special. 2013; 23: 463–472.
33. Drakos M.C., Behrens S.B., Paller D., Murphy C., DiGiovanni C.W. Biomechanical comparison of an open vs arthroscopic approach for lateral ankle instability. Foot Ankle Int. 2014; 35(8): 809 – 815.DOI:10.1177/1071100714535765.
34. Kobayashi T., Gamada K. Lateral ankle sprain and chronic ankle instability: A critical review. Foot Ankle Spec. 2014; 7(4): 298–326.DOI:10.1177/1938640014539813.
35. Molloy A., Selvan D. Ligamentous injuries of the foot and ankle. De Lee and Drez’s orthopaedic sports medicine. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015.
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37. Galli M.M., Protzman N.M., Mandelker E.M. et al. Examining the relation of osteochondral lesions of the talus to ligamentous andlateral ankle tendinous pathologic features: a comprehensive MRIreview in an asymptomatic lateral ankle population. J. Foot Ankle Surg.2014; 53(4): 429–433. DOI: 10.1053/j.jfas.2014.03.014.
38. Rigby R., Cottom J.M., Rozin R. Isolated calcaneofibular ligament injury: a report of two cases. J. Foot Ankle Surg. 2015; 54(3):487–489. DOI: 10.1053/j.jfas.2014.08.017.
39. ElTohamy W.A., El Mahboub N. The results of surgical of chronic lateral ankle instability with the Evans technique. Egypt.Orthop. J. 2016; 51: 1110–1148.
40. DiDomenico L., Butto D.N. Total Ankle Replacement with a Staged Correction of a 20 Degree Post traumatic ankle valgus and medial ankle instability. Case Report. Clin. Res. On Foot and Ankle.2016; 4(1): 232–238. DOI:10.4172/2329910X.1000179.
41. Bonnel F., Toullec E., Mabit C., Tourne Y. Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthopaediс. Traumat. Surg. Res. 2010; 96(4):424–432. DOI:10.1016/j.otsr.2010.04.003.
42. Hunt K.J. Syndesmosis injuries. Curr. Rev. Musculoskelet.Med. 2013; 6: 304–312. PMID: 23949902.
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44. Wikstrom E.A., Naik S., Lodha N., James H., Cauraugh J.H. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med. Sci. Sports Exerc. 2009; 41: 1287–1295. PMID:19461536 .
45. Hertel J. Functional Anatomy, Pathomechanics and Pathophysiology of lateral ankle instability. J. Athl. Train. 2002; 37(4):364–375. PMID: 12937557.
46. Hoch M.C., McKeon P.O. Joint mobilization improves spatiotemporal postural control and range of motion in those with chronic ankle instability. J. Orthop. Res. 2011; 29: 326–332. PMID:20886654.
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2. Baert A., Reiser M. Sports Injuries in Children and Adolescents. Heidelberg: Springer; 2011; 2: 219–230.
3. Polzer H., Kanz K.G., Prall W.C. et al. Diagnosis and treatment of acute ankle injuries: development of an evidence based algorithm. Orthopedic rewievs. 2011; 4(1): 22–32. DOI:10.4081/or.2012.e5.
4. Waterman B.R., Owens B.D., Davey S. et al. The epidemiology of ankle sprains in the United States. J. Bone Joint. Surg. Am. 2010;92(13): 2279–2284. DOI:10.2106/JBJS.I.01537.
5. Chan K.W., Ding B.C., Mroczek K.J. Acute and chronic lateral ankle instability in the athletes. Bull NYU Hosp. Jt. Dis. 2011; 69:17–26. PMID: 21332435.
6. Fousekis K., Tsepis E., Vagenas G. Intrinsic risk factors of noncontact ankle sprains in soccer: a prospective study on 100professional players. Am. J. Sports Med. 2012; 40 (8):1842–1850.DOI:10.1177/0363546512449602.
7. McCriskin B.J., Cameron Kl., Orr J.D., Waterman B.R. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations. World. J. Orthopedics. 2015;6(2):161–171. DOI:10.5312/wjo.v6.i2.161.
8. Halabchi F., Angoorani H., Mirshahi M. et al. The Prevalence of Selected Intrinsic Risk Factors for Ankle Sprain Among Elite Football and Basketball Players. Asian. J. Sports Med. 2016; 7(3): e. 35287.DOI: 10.5812/asjsm.35287.
9. Kerkhoffs G.M., Kennedy J.G., Calder J.D., KarlssonJ. There is no simple lateral ankle sprain. Knee Surg. SportsTraumatol. Arthrosc. 2016; 24 (4): 941–943.DOI: 10.1007/s001670164043z.
10. Tiemstra J.D. Update on acute ankle sprains. Am. Fam.Physician. 2012; 85: 1170–1176. PMID: 22962897.
11. Shakked R.J., Karnovsky S., Drakos M.C. Operative treatment of lateral ligament instability. Curr. Rev. Musculoskelet.Med. 2017; 21:1007–1011. DOI:10.1007/s121780179391x.
12. Liszka H., Depukat P., Gadek A. Intraarticular pathologies associated with chronic ankle instability. Folia Med. Cracov. 2016; 6:95100. PMID: 28013325.
13. Bouche R.T., Richie D., Garrick J.G., Schuberth J.M. Lateral ankle instability. Foot and ankle specialist. 2013; 23: 463–472.
14. Капанджи А.И. Нижняя конечность. Функциональная анатомия. 6е изд. М.: Эксмо; 2010. С.172–197
15. Евсеев В.И., Купкенов И.Э. Биомеханика повреждений голеностопного сустава. Чебоксары: Издво Чувашского унта; 2009. 231с.
16. Дедушкин В.С., Парфеев С.Г. Повреждения связочного аппарата голеностопного сустава: анализ исходов лечения больных в амбулаторной практике. Амбулаторная хирургия. Стационарoзамещающие технологии. 2004; 1–2: 46–50
17. Анкин Л.Н., Анкин Н.Л. Практическая травматология. Европейские стандарты диагностики и лечения. М.: Книга–плюс; 2002. С. 358–384
18. Миронов С.П., Черкес-Заде Д.Д. Артроскопическая диагностика и лечение застарелых повреждений голеностопного сустава. М.:ООО «Инсвязиздат»; 2003. 132с.
19. Распопова Е.А., Ударцев Е.Ю. Сравнительные аспекты методов диагностики повреждений мягких тканей при травмах голеностопного сустава. Вестн. хирургии им. И.И. Грекова. 2005;164(3): 59–64
20. Давтян Г.Г., Гюльназарова С.В. Исходы реконструкции связок дистального синдесмоза при хронической нестабильности голеностопного сустава. Бюллетень ВСНЦ СО РАМН.2011; 3(1): 24–27
21. Witchalls J., Waddington G., Blanch P., Adams P. Ankle instability effects on joint position sense when stepping across the active movement extent discrimination apparatus. J. of Athletic Train. 2012;47(6): 627–634. PMID: 23182010.
22. Martin R.L., Davenport T.E., Paulseth S. et al. Ankle stability and movement coordination impairments: ankle ligament sprains. J. Orthop. Sports. Phys. Ther. 2013; 43(9): A.1–40. PMID: 24313720.
23. Aynardi M., Pedowitz D.I., Raikin S.M. Subtalar instability .Foot ankle Clin. 2015; 20: 243–252. PMID: 26043241.
24. Ferran N.A., Oliva F., Maffulli N. Ankle instability. Sports.Med. Arthrosc. 2009; 17: 139–145.
25. McKeon P.O., Ingersoll C.D., Kerrigan D.C., Saliba E.,Bennett B.C.,Hertel J. Balance training improves function and postural control in those with chronic ankle instability. Med. Sci. Sports Exerc.2008; 40: 1810–1819. PMID: 18799992.
26. Schwieterman B., Haas D., Columber K., Knupp D., CookC. Diagnostic accuracy of physical examination tests of the ankle/footcomplex: a systematic review. International journal of sports physical therapy. 2013; 8(4): 416–426.PMID: 24175128.
27. Waterman B.R., Belmont P.J., Cameron K.L. et al. Risk factors for syndesmotic and medial ankle sprain: role of sex, sport and level of competition. Am. J. Sports. Med. 2011; 39(5): 992–998.DOI: 10.1177/0363546510391462.
28. Barg A., Knupp M., Hintermann B. Post traumatic medial ankle instability. Suomen. Orthop. Traumatol. 2013; 36: 58–62.
29. Fong D.T., Hong Y., ShimaY. et al. Biomechanics of supination ankle sprain: a case report of an accidental injury event in the laboratory. Am. J. Sports. Med. 2009; 37(4): 822–827.DOI: org/10.1177/0363546508328102.
30. Funk J.R. Ankle injury mechanisms: lessons learned from cadaveric studies. Clin. Аnat. 2011; 5: 350–361. DOI: 10.1002/ca.21112.
31. Kwon J., Chacko A.T., Kadzielski J.J. et al. Appleton PT, Rodriguez EK. A novel methodology for the study of injury mechanism: ankle fracture analysis using injury videos posted on You Tube.com. J. Orthop. Traum. 2010; 24(8): 477–482. DOI: 10.1097/BOT.0b013e3181c99264.
32. Bouche R.T., Richie D., Garrick J.G., Schuberth J.M. Lateral ankle instability. Foot Аnkle Special. 2013; 23: 463–472.
33. Drakos M.C., Behrens S.B., Paller D., Murphy C., DiGiovanni C.W. Biomechanical comparison of an open vs arthroscopic approach for lateral ankle instability. Foot Ankle Int. 2014; 35(8): 809 – 815.DOI:10.1177/1071100714535765.
34. Kobayashi T., Gamada K. Lateral ankle sprain and chronic ankle instability: A critical review. Foot Ankle Spec. 2014; 7(4): 298–326.DOI:10.1177/1938640014539813.
35. Molloy A., Selvan D. Ligamentous injuries of the foot and ankle. De Lee and Drez’s orthopaedic sports medicine. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015.
36. AlMohrej O.A., AlKenani N.S. Сhronic ankle instability: Current perspectives. Avicenna J. Med. 2016; 6: 103–108.DOI:10.4103/22310770.191446.
37. Galli M.M., Protzman N.M., Mandelker E.M. et al. Examining the relation of osteochondral lesions of the talus to ligamentous andlateral ankle tendinous pathologic features: a comprehensive MRIreview in an asymptomatic lateral ankle population. J. Foot Ankle Surg.2014; 53(4): 429–433. DOI: 10.1053/j.jfas.2014.03.014.
38. Rigby R., Cottom J.M., Rozin R. Isolated calcaneofibular ligament injury: a report of two cases. J. Foot Ankle Surg. 2015; 54(3):487–489. DOI: 10.1053/j.jfas.2014.08.017.
39. ElTohamy W.A., El Mahboub N. The results of surgical of chronic lateral ankle instability with the Evans technique. Egypt.Orthop. J. 2016; 51: 1110–1148.
40. DiDomenico L., Butto D.N. Total Ankle Replacement with a Staged Correction of a 20 Degree Post traumatic ankle valgus and medial ankle instability. Case Report. Clin. Res. On Foot and Ankle.2016; 4(1): 232–238. DOI:10.4172/2329910X.1000179.
41. Bonnel F., Toullec E., Mabit C., Tourne Y. Chronic ankle instability: biomechanics and pathomechanics of ligaments injury and associated lesions. Orthopaediс. Traumat. Surg. Res. 2010; 96(4):424–432. DOI:10.1016/j.otsr.2010.04.003.
42. Hunt K.J. Syndesmosis injuries. Curr. Rev. Musculoskelet.Med. 2013; 6: 304–312. PMID: 23949902.
43. van den Bekerom M.P. Diagnosing syndesmotic instability in ankle fractures. World J. Orthop. 2011; 2: 51–56. DOI:10.5312/wjo.v2.i7.51.
44. Wikstrom E.A., Naik S., Lodha N., James H., Cauraugh J.H. Balance capabilities after lateral ankle trauma and intervention: a meta-analysis. Med. Sci. Sports Exerc. 2009; 41: 1287–1295. PMID:19461536 .
45. Hertel J. Functional Anatomy, Pathomechanics and Pathophysiology of lateral ankle instability. J. Athl. Train. 2002; 37(4):364–375. PMID: 12937557.
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