Differential diagnosis of deltoid ligament injury, differential diagnosis of ligament strain

Ligament rupture: In life, ligament injuries are common in ankles, knees, metacarpal joints, and knuckles. Ligament rupture is generally caused by a movement beyond the range of motion of the joint, resulting in a passive traction of the related ligament and causing tearing or complete rupture.

Ligament rupture is often accompanied by sprains and fractures. Ligament injuries should be diagnosed and diagnosed promptly. Immediate immobilization, local cooling to delay and reduce swelling and bleeding, and analgesia should be taken immediately after the injury, and then go to the hospital in time.

After ligament strain, local swelling, pain, tenderness, and bruising may be seen with subcutaneous hemorrhage. It is very important to properly manage joint ligament sprains at an early stage. Because ligament tissue is not easy to regenerate and recover, if it is not treated properly or misdiagnosed, it may become a chronic disease, and it may remain dysfunctional, and it is easy to re-damage in the future.

1. Clinical manifestations:

Local pain, swelling, and deformity are more prominent, and the manifestations are angular and overlapping. Attention should be paid to the presence of common peroneal nerve injury, anterior and posterior tibial artery injury, and increased tone in the anterior tibial and gastrocnemius regions. Often, complications caused by fractures are more serious than those caused by the fracture itself.

2. Diagnosis: Due to the superficial position of the tibia and fibula, it is generally not difficult to diagnose, and the displaced bone end can often be palpated in the painful and swollen area. It is important to detect fractures with injury to the anterior and posterior tibial arteriovenous and common peroneal nerves.

Pulsations of the dorsalis pedis artery, sensation in the foot, and dorsiflexion of the ankle and hallux should be routinely recorded. For crush injuries with serious local injuries, open fractures, and injuries who have had a tourniquet for a long time and bandages too tightly, special attention should be paid to observe whether there is progressive swelling of the injured limb, especially in the rich muscles, such as tension, shinyness, coolness, blisters, muscle stiffness, dorsalis pedis artery, cyanosis or pallor of the limbs, etc., which is the manifestation of fascial space syndrome. It should be dealt with in a timely and urgent manner.

Fibular fractures at the level of the lower tibiofibular ligament symphysis, which may be accompanied by medial malleolar avulsion fractures or deltoid ligament injuries; The posterior border of the tibia may be intact or show a triangular bone mass avulsed from the posterior tibiofibular ligament.

I have had a broken right ankle for three months, and I went to the ** doctor to see that the bone is not in the right place, but it is still a little swollen and painful, I want to ask ** Can I see it clearly? Did you hurt your ligaments?

1. Ligament rupture: Generally, it is caused by the passive traction of the related ligaments due to actions beyond the range of motion of the joint. Ligament rupture is often accompanied by sprains and fractures.

2. Ligament sprain: Ligament sprain refers to the injury of soft tissues (such as muscles, tendons, ligaments, blood vessels, etc.) of the joints of the limbs or the body without fractures, dislocations, skin and flesh damage, etc. The main clinical manifestations are pain and swelling at the site of injury and limited joint movement, which mostly occur in the waist, ankle, knee, shoulder, wrist, elbow, and hip.

3. Ligament contusion: Generally, because during the activity, the ligament injury is not serious, and there will be redness and swelling.

After ligament injury, small blood vessels rupture and bleeding, local pain, swelling, intratissue bleeding, hematoma, joint swelling, impaired mobility, and tenderness. During the physical examination, the stretched ligament is found to be significantly painful, and if it is completely ruptured, the stability of the joint is reduced. Therefore, it is necessary to exercise moderately and prepare for warm-up before exercising.

To make the joints comfortable, but also pay attention to the movement, do not use too much force. Other than that. Exercises to strengthen muscles are important.

Because the stability of the joint requires the protection of ligaments, it also needs to be protected by the strength of strong muscles. When the muscles are stronger, the load on the ligaments is reduced during exercise, which helps to reduce the chance of ligament damage.

Deltoid ligament injury: fibular fracture at the level of the lower tibiofibular ligament symphysis, which may be accompanied by medial malleolus avulsion fracture or deltoid ligament injury; The posterior border of the tibia may be intact or show a triangular bone mass avulsed from the posterior tibiofibular ligament.

How much time is good for joint ligaments to break and fracture.