Damaged bundes of ankle. Bundle of the ankle: degrees, causes, symptoms, methods of treating injury. Diagnostics of rupture bundles of ankle

The rupture of the bundles of ankle is dangerous, but at the same time quite frequent injury. This happens due to the fact that high load is regularly held on the joint. In addition, the ankles are in constant motion. And any careless action can provoke a bust of the ankle.

Symptoms and treatment, as well as the consequences of this problem, are largely determined by the severity of the ankle lesion. It is important to understand that the examination under consideration is serious enough. It is sometimes difficult to predict how much a ligament will heal.

It is worth noting that the breakdown of the ankle joint is a complete or partial damage to the fibers of the ligaments. Ankle bones are supported by three tendral groups. Each of them provides the correct position of the tanny.

It is important to understand that damage to the bonds of the ankle joint is several species. The stretching is characterized by a partial tear of individual fibers, for example, a small -com bundle. And when damaged, the many fibers are talking about the presence of a donkey. At the same time, the joint itself retains performance, however, with certain restrictions.

The formation of ruptures of bundles of ankle joint is possible for a number of reasons. Most often this problem occurs:

• During sports exercises (running, jumping, and so on). With these actions, the bundles of the ankle joint are subjected to colossal loads. If at the same time the person performs the movements of a large radius, the probability of the occurrence of the rupture increases repeatedly. For example, fans of ski sports often turn to doctors for the treatment of damage to the bundles of the ankle joint, located outside the muscle group.
• Careless movements in everyday life. The rupture of the ankle joint in living conditions arises due, for example, slip on the wet semi or the transfer of heavy items.
• Wearing uncomfortable shoes. In this case, we are talking about shoes in which the leg is under an unnatural angle (high heel and the like).

In general, there are many reasons for the appearance of the injury in question. In part, the problem arises due to the fact that the bustles of the ankle were not prepared for large and long loads.

It is worth noting that not all the tendons in the ankle are injured due to the reasons discussed above.

For example, the rupture of the deltoid ligament is possible only with a fracture of ankle. Therefore, it is important after ankle injury to seek help to a doctor.

Damage degrees

Treatment of rupture of bundles of ankle joint is determined by the severity of injury. In medical practice, it is customary to share the last 3 degree:

1. In a different way, this injury is called tensile ligaments. Such damage is characterized by a breakdown of a small amount of fibers.
2. Partial breakdown of ankle joint. For the second degree, the preservation of the functionality of the tendons is characterized, but more fibers are damaged.
3. With such an injury, tendons for a while losing their performance. In particularly difficult cases, there is a tip of a bundle from the place of attachment, as a result of which the ankle joint stops functioning.

Symptoms of bundles of ankle

What symptoms report that a man broke a bundle on ankle? The first and main feature testifying to break the bundles in the ankle joint is the appearance of pain syndrome. His severity, as well as the power of manifestation of other symptoms, depends on the degree of defeat.

1. At the first degree, the symptoms of the break of the binders of the ankle joint are expressed weakly. Paints arise when walking and practically do not deliver problems to a person. Moreover, pain may disappear if the patient walks for a long time. In other words, if you actively load ankle, then the pain disappears for a short time. But this sensation arises with a weak pressed on the affected joint, around which a small tumor appears over time.
2. The second degree of rupture of bundles of ankle joint is characterized by a larger area of \u200b\u200bdefeat. Edema moves to the side and front part of the foot. In motion, a person is experiencing quite strong pain. It becomes more difficult to walk.
3. For the third degree of bundles, a very strong pain is observed, increasing with the loads on the joint. Even a weak movement can cause serious discomfort. Edema extends to the entire foot, including its plantar part. With the breakdown of the tights of the ankle joint of the third degree often formed internal bleeding, manifested in the form of a hematoma. Motor functions of the foot are lost almost completely.

On the X-ray, the bone in the wrong place may be noticeable. This indicates a bunting bundle from the point of attachment.

Treatment methods

How to treat torn bonds of ankle joint? Therapy, as well as the symptoms formed after the rupture of bundles of ankle, is determined on the basis of the degree of lesion. The same circumstance affects the period of recovery after injury.

Treatment of the initial degree of lesion of the joint

With weak damage to the tendons of the ankle joint, treatment is carried out at home. First of all, it is necessary to securely fix the injured part of the limb, imposing a tire or an elastic bandage. Next applies ointments with anti-inflammatory and painkillers.

In the first two days after the injury, it is recommended to use cooling preparations of chloroethyl type and menthol gels. The use of warming ointments and compresses is strictly contraindicated. The therapeutic effect of cooling oats is due to their composition containing:

• menthol;
• anticoagulants;
• analgesics;
• alcohol;
• essential oils.

Such ointments are effectively dulled by pain syndrome. Means need to rub performing massage movements. To remove the edema, it is recommended for two days to regularly apply ice to the affected area.

Eliminate inflammation at breaking bundles of the ankle joint allow the thrombosewasin (possibly a combination of ointments and tablets) and venorutant. Preparations are quickly absorbed and do not heat the joint.

After two days, warming drugs are applied. For these purposes, the corresponding ointments (gels) and the means of traditional medicine in the form of a lotion and compresses are recommended.

Vodka or milk

To make a compress, it is necessary to moisten a piece of gauze in vodka or milk, after which put the tissue on the patient area. Next it should be copied with polyethylene. For the first time the compress is left for the night. In the future, the tool is recommended to be used for 3-4 hours daily.

Salt salt and bow

It is necessary to crush two medium-sized bulbs, add a tablespoon of salt to the resulting cleaner and decompose the resulting mixture into several layers of gauze. Then apply it to the joint, by 1-1.5 hours. This procedure should be repeated up to 6 times a day.
In compliance with the conditions of treatment and the regular use of drugs (ointments, compresses), rehabilitation is completed after 10-14 days.

Treatment of the second degree of rupture of bundles of ankle

In this case, it is more difficult to determine in advance how much the affected joint is harder. It depends on how much the fibers were damaged.

In order to avoid the deterioration of the situation, doctors recommend wearing a gypsum Langet. He fixes the ankle well and speeds up the recovery process. Treatment of busts of ankle joint with the defeat of the second degree is also carried out at home.

At first, it was recommended that the use of anti-inflammatory and anti-eased ointments like Balzam Sanitas, a gymstagon and heparin ointment. On the third day after injury, you should go to warming drugs: Finalgon, Menovazin and others.

Accelerate the treatment of damage to the ankle joint allow physiotherapeutic procedures. It can be:

• medical physical culture (LFC);
• warm baths that contribute to the relaxation of muscle fibers.

The duration of the recovery period is often about 3 weeks.

Treatment of the third degree

The torn joint delivers strong pains that need to be eliminated by appropriate ointments. For these purposes it is also possible to receive painkillers. In particular, the injection of novocaine is recommended, which eliminates the pain per day.

In the breakdown of the bias of the ankle joint, the third degree is usually observed internal bleeding. Blood clots are eliminated by puncture, which prevents infection and the development of the inflammatory process.

If during the inspection, the doctor diagnosed the full break of the bust in the ankle, then the joint through the gypsum bandage is immobilized for 3-4 weeks. At the same time, the patient is recommended to regularly move the fingers of the affected limb. Such actions improve blood circulation, thereby speeding up the healing process of ligaments.

To relieve pain and reduce the recovery period, the following physiotherapy procedures are assigned:

• electrophoresis during which calcium is used;
• ozokerite;
• magnetotherapy;
• massage;
• treatment with paraffin and mud.

Physiotherapy allows you to restore the structure of the fibers, speed up the exchange nutrientsDue to which they are activated by the captivity of each other. Treatment of a complete break of ankle joint bundles takes about three months.

The ankle joint, from an anatomical point of view, has the most complex structure. And this idea of \u200b\u200bnature is quite amenable to logical explanation. After all, it is precisely for this part of the leg a very important - reference - a function with which the joint perfectly copes. But if everything is so good, why then damage to the bundle of ankle joint is a diagnosis that is more often a traumatologist for their patients?

Anatomical structure of ankle

An ankle bone and bone of the tibia is formed and has a block-shaped. The angle of its mobility during extension and bending reaches 90 °. Both on the outer and on the inside it is strengthened by bundles. Internal, which is known in medicine as deltoid or medial, connective tissue The ankle is located from the medial ankle towards the heel, taranne and lands. Externally, its form is as close as possible to the triangle.

But as for the exterior bonds of the ankle joint, then their three. All of them go from a small berth bone, while two of them are attached to the taranne and one - to the heel. It is due to the location they are called the rear and anterior taranno-muloberstskoy and the fiddle-mulberry ligaments.

The age-related characteristic feature of this reference joint is its mobility. And in adults, he is more moving toward the plantar surface, in children - in the back side of the foot.

Injecting ankle - the problem of athletes or ailment that lies anyway?

Do not think that damage to the bundle of ankle joint is the problem of only athletes exposing their body to large physical exertion. After all, from the total number of patients traumatologists who have been diagnosed, only 15-20% were injured during training. Classify the rest in the age group, the field of classes or sexuality is simply impossible. And it is quite logical, as stumble, make a sharp misinterpretation, turn the leg or just unsuccessfully jumping off the step can anyone.

Quite often diagnose damage to the alands of ankle joint and modern "fashionistam", for which beauty is significantly higher in the list of priorities than convenience and health. They choose shoes, guided by the criterion of comfort and the correctness of the foot fixation, and the price, height height, color, or fashion trend. Such incorrectly chosen accessories for women's wardrobe, suitable for a handbag, a dress or eye color, are often caused by injury, the name of which, according to medical terminology, is damage to the bundle of ankle joint.

As for the children, they suffer from this ailment is also not so rare. After all, small fidgets are in constant motion. In addition, their joints and bone fabrics have not yet fully fastened, so they are easy to injure them.

Who should beware of the damage to the ankle?

Not always damage to the bonds of the ankle joint is the result of only injuries. 20-25%, as evidenced by medical practice, the causes of the ailment of doctors call an anatomical predisposition and chronic diseases. Most often injury to connecting tissues is fixed in people with high supination, or footspot, with different length limbs, as well as those who suffer the weakness of the ligament apparatus, muscle imbalance and various neuromuscular disorders.

Therefore, to everyone who enters this category of risk, it is necessary to approach the choice of shoes with special care, clearly dispense physical exertion on musculina.

First degree bundles

Depending on the severity of damage to the connective tissues, the disease is divided into three main degrees. To the first, and the easiest, the tip of the unit fibers, which does not violate the stability of the joint. At the same time, the victim experiences the pain of weak intensity, which can be removed by analgesics in the form of tablets and ointments. There may be a small swelling at the injury site, but the manifestations of hyperemia are completely absent.

Clinical manifestations of the second degree of injury

If a person has damage to the ligaments of the left ankle joint (or right) of the second degree, the symptoms will be brighter. The victim is experiencing a strong painful syndrome, weak bruises and bruises appear on the skin cover. Such a partial bundle breaks does not violate the stability of the joint, but there can be almost can't walk the person with trauma.

Symptomatic characteristic of the third degree of damage

The third degree of injury to the connecting structures is entitled to be called the hardest. After all, such damage to the ligaments of the right ankle joint (or left is not important) implies a complete break of all the fibers without exception. Characteristic symptoms are the sharp pain of the high degree of intensity, impaired motor function, as well as the instability of the scene itself. In addition, at the place of injury immediately appear subcutaneous hemorrhages of various sizes, to which a strong swelling is joined after a while.

Is it worth refusing medical care?

Despite the fact that the first two degrees of injury to the bundles of ankle are not related to the discharge of severe and do not require specific treatment, the doctor's inspection will not be superfluous. After all, the painful sensations of average intensity, swelling and hyperemia are symptoms not only damage to the connecting tissues. Such. clinical picture It is also characteristic of cracks and fractures of bone fabrics, the treatment of which is better to carry out supervision of doctors. Therefore, it is so important that the specialist clearly diagnosed the injury and appointed the relevant course of therapy.

We also note that even if a person has partial damage to the bundles of ankle joint, he needs consultation of a professional - this will speed up the process of recovery. Therefore, regardless of the degree of injury to connecting tissues, it is not necessary to abandon professional medical care.

First aid with bundles of ankle bundles

If, during damage to the connective tissue, a crunch or crackle was heard, doubt that the bundle of the ligament fibers occurred, practically nothing. In addition, in this case, any movement that is trying to accomplish the victim is accompanied by acute pain, and at the place of damage immediately appears swelling or bruises. To improve the patient's condition before the doctor examines it, it is necessary to properly render the first help.

First, immediately need to immobilize the damaged limb. The patient should be satisfied, and it is better to lay so that the ankle is above the level of the heart. This provision will allow, if there has been complete damage to the bunding of ankle joint, prevent internal hemorrhage.

Secondly, there should be a cold compress in the area of \u200b\u200bdamage, and it is better to attach pieces of ice. Then the victim give an anesthetic drug and decide how to deliver it to the nearest trauma. If damage to the bundles of ankle joint (symptoms are described above) is accompanied by strong hyperemia, unbearable pain and extensive swelling, it is better to call ambulance. Doctors immediately put on the leg and take the patient to the hospital, where they will fully diagnose.

Treatment of damage to the first degree

The injury of such a degree of severity, as a rule, does not require drug treatment. The main essence of the process is to fix the damaged joint and the admission of painkillers, if necessary. In other words, the patient who was diagnosed with damage to the bunding of the ankle joint of the first degree may continue to conduct a familiar lifestyle. However, doctors in the recovery period are recommended whenever possible to reduce exercise, and put a tight bandage on the damaged joint.

As a rule, after 10-12 days a complete recovery comes.

How to treat damage to second severity ligaments?

Treatment of second gravity injuries will take much longer than tensile ligaments. In addition, during this period, the patient should not only limit physical exertion, but also to undergo a course of comprehensive therapy, which will help to recover rather after such a violation, as damage to the borders of the ankle joint. The consequences of the illness with a clear compliance with the doctor's recommendations will not be disturbed, but self-medication in such situations can deliver a lot of problems, and even after a few years a person will not be able to forget about injury.

As a rule, with a partial oversight of the junction tissue of the ankle, the patient lay a gypsum langenet that locks the leg. To remove pain syndrome, an analgesic agent is prescribed in a tablet form. This may be one of these drugs as "Nurofen", "Ibuprofen" or "Ketorol". Since the third day, physiotherapy procedures that accelerating the process of recovery can be connected.

Third degree ligament damage: therapy features

It should be known that if the doctor found that the patient has a complex damage to the bonds of ankle joint, the treatment will take at least 5-6 weeks. It is also worth saying that it is carried out in the hospital, as it requires operational intervention, in which the broken connective tissues are crosslinked, they pumped blood from the joint, after which the Novocaine or other similar drugs are introduced into its cavity.

After the operation on foot, the patient for 3-5 weeks impose Gypsum and prescribe a course of drugs that have an anti-inflammatory and painkillers. From 3-4 days of treatment in comprehensive therapy Includes physiotherapeutic procedures that improve blood supply in places of damage and stimulate the protective functions of the body as a whole.

The effects of ankle injury

Talking that damage to the bundles of the ankle joint (photos of damaged sites placed on the stands at the traumatologist's office, scare many patients, which is understandable) is always fraught with serious complications, incorrectly.

The ongoing treatment and adherence to all prescriptions of the doctor make it possible to completely restore the connecting tissues. Exceptions are those cases where patients ignore the recommendations of specialists or are treated independently, exclusively with the help of folk medicine. The consequence of such carelessness and irresponsible attitude to their health most often becomes the instability of the ankle joint. And this may cause repeated injury to connecting and bone tissues.

Therefore, before treating damage to the borders of the ankle joint, the patient should clearly understand that its health depends on the observance of medical recommendations during the period of therapy and rehabilitation.

fB.ru.

How much his legs will heal

The time of rehabilitation after the injury gained can occupy both from several days and last up to several months. It all depends on how the injury in character was obtained and how the patient performs all the prescriptions of the attending physician.

How many ligament breaks down? If the bundle break was partial, the recovery time may vary from 7 calendar days to 3 weeks.

But it is not necessary to dedicated that after that you can immediately stand on heels, wearing free shoes on a flat sole is recommended for about 2 months. With a complete break of ligaments, after removing the gypsum, the rehabilitation period lasts until six months.

Especially, the period for the reduction of the joint of the ankle after a serious injury is longer, if the method of surgical intervention (from 3 to 6 months) was applied.

It is necessary to undergo a rehabilitation course and a series of gymnastic exercises to restore the motor function. At the same time, it is not necessary to engage in self-medication - all the necessary exercises should recommend a specialist.

In any case, the lifting deadlines depend on the individual nature of the human body and his desire to recovery, as well as to carefully comply with the prescriptions of the attending physician.

Damage to ligaments and its signs

The rupture of ankle ligaments can occur when walking when a person turns his leg or in cases where, stuffing, the stop is folded in half into the inner side.

Symptoms in damage to the ligaments is always the same, it differs only according to the degree of manifestation of pain, which depend on the degree of injury to their:

1. Upon receipt of the injury, the sharp pain pain occurs.
2. The presence of the appearance of the foot and the legs.
3. Hematoma may occur in the injection site.
4. With a local examination of the leg, pain there are painful sensations of varying degrees, the closer to the area of \u200b\u200bdamage, the pain becomes stronger.
5. The possibility of movement can be partially lost by a person who has injured an ankle joint.

The following indicators may serve as signs of this ailment:

1. With partial break (single fibers are involved):
   • minor pain and swelling of the top of the foot;
   • the function of independent movement is saved;
   • nonal inhydration on damaged leg.
2. With a binding abnormal:
   • pronounced pain in the place of damage;
   • the tumor, both on the outer and on the inside of the foot, besides this, the spread of the tumor occurs on the lower side of the lower leg itself;
   • the function of independent movement is partially lost.
3. In cases of complete break bundles:
   • pain sensations of a pronounced, acute character;
   • a strong tumor of the foot and legs;
   • the possibility of independent movement becomes impossible;
   • strong gematomes of soft tissues in damage places.
   • there is an increase in temperature at the place of injury.

Despite all the above symptoms and signs, with 100% confidence of the extension of the bundles of the ankle can be argued only after the clinical examination.

You can treat stretching after a radiographic picture of a damaged man's legs.

Partial break and capabilities of his treatment

Only after holding a complete clinical examination, we can talk about the possibilities of treating bundles, the whole thing is that it depends on the degree of damage.

With partial break, the attending physician may be appointed local application of cooling compresses in the first 24 hours. And the mandatory presence of a tight bandage in the area of \u200b\u200binjury.

In addition, the leg needs to ensure maximum peace, at least the first day. Medical preparations can be assigned to reduce pain and ointments, which can reduce the tumor and help in cases of treating hematomas.

The most common and inexpensive at the price threshold is the heparin ointment, of course, in the absence of allergic reactions in the body, the organism on the components of its composition.

In which damaged bundles are stitched, implants are inserted into their place. After the operation performed, the patient impose Gypsum.

In this case, it is necessary to know that even after removing the gypsum, it is immediately a man to run and jump will not be able to jump, the mass of physioprocessor, special gymnastics for therapeutic purposes and time for rehabilitation.

Criteria for assistance in damage to the ankle joint

In cases where an ankle injury was injured, and there is a suspicion of breaking the ligaments of this area, then the actions on the part of the assistance must be as follows:

• Release the injured foot from the shoes, because after the occurrence of swelling, this procedure can independently become impossible, especially if a person prefers narrow shoes.
• Provide a local cold compress for 15-20 minutes, if there is no ice at hand, then cold water can come. In this case, it is necessary to remember that if the ice compression is superimposed, it is superimposed on top of the rag surface, and not on bare skin to avoid frostbite to have a damaged leg.
• Fix the sore leg by imposing a tight bandage to the injury area.
• If a person has painful sensations of a very high degree, then it is necessary to give an anesthetic preparation.
• Call an ambulance care or whenever possible to take a patient to the local hospital.

Important information about an ankle injury on video

What you still need to read:

Treatment by folk methods

Treatment with help folk remedies Perhaps only if the full bundle of the ankle is excluded:

1. A cabbage sheet has proven itself to remove the swelling and lower the temperature at the place of the defeat.

   The best option is relevant, but if there is no such possibility, it is possible to tear a sheet from the Kochan cabbage located in the refrigerator.

   The cabbage sheet must be pulled a bit in their hands, and then apply to the sore leg and secure the bandage. This procedure is best carried out in the evening, before bedtime.

2. Compress from fresh potatoes will help reduce pain in the field of leg damage. Totato grated on a grater applied to the top of the foot and withstand about 15-20 minutes, after which it is carefully removed using a cotton swab.
3. In order to provide the body with such a micronomelement as calcium, which is indispensable in this rehabilitation process, can be used in food turbulent shells of chicken eggs. 1/2 teaspoon add twice a day to consumed food.
4. In cases where it is necessary to reduce the resulting hematoma, the compresses from Bodhai should be used. Make them best at least 2 times a day.

gidpain.ru.

Types of damage to the ankle: bruises, dislocations, fractures

The breakdown of the ankle joint is not the only problem that may occur in mechanical exposure to the articulation in the field of the lower leg. In the quality of injuries, it is still possible to distinguish fractures, tensions of fibers, dislocations, subsidiaries and inflammation.

The nature of the injury can be absolutely different, it depends in many respects from the mechanism of exposure..

As an example, a bruise can be brought, which causes pain, but the integrity of tissues does not violate. When you have to deal with the injury, the symptoms are reduced to pain in a damaged place and swelling in the joint area. And although the victim in such a state can rely on the leg, the movement of the foot will be limited.

Important. Dislocation is a violation of the situation. articular surfaces bones. It is with such an impact on the foot and a breakdown or a break of the bias of the ankle joint. How much the articulation heals after such damage, it is difficult to say - everything is deeply individually, but on average there will be a few weeks for complete recovery.

The cause of the dislocation may cause the foot after a sharp movement or transfer of weight to one leg.

For the subluxing, the discrepancy of the articulation surfaces is characterized, while the points of contact are preserved. In this case, the joint function is also partially disturbed, but the pain is less sharp.

It is worth aware of the fact that during the injury of ankle joint bundles there is a risk that the 5th tie bone will be broken. For this reason (in case of edema and pain), you need to contact the hospital. It is possible to determine the fracture of the mentioned bone by feeling its base, with the worst scenario, a person will feel a strong pain during pressing.

What are the types of damage to the bust of the ankle joint?

One of the most common is a group of injuries related to the ligament apparatus of the shin. There are several types of destructive impact here:

• Splayer stretching. This is damage in which the integrity of the fibers is preserved.
• Partial gap, he is supervised. In such a state, the ability to produce movements remains, but it will have to go to the hospital.
• Target bundles of ankle. Treatment in this case will be extremely difficult because the integrity of the fibers occurs, as a result - their functions.

It is worth understanding that in case of damage to the ligaments, the devastating effects can be spread to other parts of the joint.

In each case, several factors affect the degree of damage, in addition to the most traumatic impact. We are talking about the natural strength of fibers and the ability to withstand extremely high loads. If the pressure or punch will simultaneously affect several types of tissues (muscles, bones, ligaments), then the chances of getting minimal damage or avoid them at all increase significantly.

Interesting! In medicine, such indicators such as tensions and elasticity of tissue are used to determine the strength of the articular apparatus. Accordingly, the more they are strong and elastic, the smaller the risk of ligaments of the ankle joint, the treatment of which will require considerable effort.

Causes of damage to the ligament

Many factors can cause an ankle injury. But one of the most common is a sedentary lifestyle. The bottom line is that the strength and flexibility of ligaments are largely dependent on stable loads that strengthen them. If there are practically no, the binder will weaken and becomes less flexible. As a result, an injury can be obtained even with a minor mechanical exposure.

To reduce the likelihood of an ankle injury, you need to lead an active lifestyle and give moderate ligaments and muscle .

It is important to understand that excessive activity, for example, athletes can also cause damage to the borders of the ankle joint. Treatment in this case will lead to temporary abroad. Moreover, in case of severe injury, complications are possible, so it is necessary to approle the increase in loads in any sport, especially those who are just starting.

The first to whom the damage to the bonds of the ankle joint is people who have made a choice in favor of football or other sports where there are high loads on their feet.

Important. Careless jumps from the ramp or fast descent on the steps can cause the leg converting. It is about turning the feet inward at the moment when the mass of the whole body is affected.

If a strong blow is applied in production or living conditions on ankle articulation, then the fibers and fracture can occur.

A little about symptoms

The horsepower injury makes itself felt through explicit signs. We are talking about the following symptoms:

• it becomes difficult to walk;
• in the field of junction of the shin and feet, pain is feels;
• the movement of the joint is limited;
• in place of damage increases temperature;
• hematoma appears;
• injured soft fabrics swell.

If we are talking about tensile ligaments, in which only some fibers are broken ( first degree), the key signs of damage will be a small swelling and moderate pain. In this case, the ability to move will remain.

Injury of ankle Sustava second degree (The gap of most fibers) is accompanied by an edema, pronounced pain and restriction of motion.

For third degree (complete bundle breaks) It is characterized by severe pain, as well as swelling and hematoma in the place that was amazed. It is almost impossible to walk in such a state.

It is obvious that the symptoms of the rupture of the bundles of the ankle joint (regardless of the extent) are difficult not to notice. At the same time, it is important to visit the doctor in time to avoid possible complications.

Recovery period after injury

If signs of injury were noticed and the victim immediately passed the inspection in the hospital, then the chances of relatively fast recovery Rapid.

It is worth knowing. With the first degree of damage to the bundles of the ankle joint, the recovery time can be limited to 10-15 days.

If a second degree injury was obtained, then you need to prepare for recovery for three to four weeks. When it comes to the full break of the fibers, the actual treatment will be delayed for a month or one and a half. But even after that, it will be necessary to eight weeks of rehabilitation.

How to treat injured ligaments

With light damage, for example, stretching, the hospital is not needed - all therapeutic activities are held at home. In fact, we are talking about the imposition of a cruciform bandage on the injured area, as well as the use of ice. This procedure is reduced to the fact that the ice affects the joint of approximately half an hour, after which a break is made for 10 minutes, then the process is repeated.

Such measures are relevant during the first two days, after which more serious therapy begins. It is the treatment of injured ankle joint by applining ozokerite and paraffin.

Important. It is not worth these hopes for self-medication, the doctor must choose the recovery tactics.

Only a qualified specialist will be able to determine all the verge of consequences after injury and, accordingly, choose the best techniques of exposure.

Usually further treatment includes the following actions:

• the use of painkillers and anti-inflammatory drugs (Diclofenac, Ketanov, Ibuprofen, "Nimesil! et al.);
• puncture and blood removal during hemarthritis (may be used in angioprotectors);
• fixing the position of the leg with the help of a gypsum bandage.

Useful. During the rehabilitation period, medical physical education is carried out, as well as massage and physiothera sessions.

This action algorithm is suitable for the treatment of partial breakdown of the ankle joint, and with a full break of fibers. It should be noted the following: before the disappearance of pain, the physical leaps remains a contraindicated measure. As a rule, the treatment takes 10-14 days.

As for surgical intervention, it is relevant only when, in addition to bundles, damage receives a joint-binder.

With such injuries, there is always a risk of such a complication as inflammation of the bundles of the ankle joint. We are talking about Arthrosis, which often goes into an irreversible stage. In this case, daily prevention and a set of measures can achieve stable remission.

RESULTS

Damage to the ligaments may have a different severity and the most unexpected consequences. For this reason, the best thing that the victim can make is to consult a doctor at extremely short time.

sustavInfo.com.

Classification of the disease

The ankle joint is a movable node that collects three bones together: the Target, Malobers and Tranny. The main function of the joint consists in a uniform distribution of human body mass during movement. The ankles himself is protected from light injuries and bruises with plenty of muscular and ligament fabrics. Therefore, when falling or converting the foot, due to any other reasons, bonds are damaged. Most often there is a partial gap of exterior bonds of ankle, and the reasons for such injury can be very minor factors. High-heeled shoes, physical workouts, fast walking or running, jumping, falls - all of these common provocations, causing an injury of ankle ligament in the form of stretching or partial break.

The diagnosis of the disease has three main severity:

1. Tensile bonds of ankle, which can be accompanied by small cracks of the joint.
2. Partial rupture of the ankle ligaments, with a violation of the joints of the joint, which limits the gait.
3. A complete break of ligaments, forcing the patient to observe a strict bed regime due to the impossibility of moving on his legs.

Symptomatics of the disease

With a careless or sharp movement, accompanying an injury of ankle joint, painful sensations occur even with a slight tension of the ligaments. Usually, the symptoms of the partial rupture of the bust of the ankle include such manifestations:

• Pain syndrome with limited joint mobility. The pain is usually localized in the ankle and calf muscles.
• Violation of the gait from the type of gentle movements in the injured leg.
• The edema of the ankle joint, often with the sinusiness of the skin.
• Plowed area in the injury area is hot to the touch.

Diagnostic and Medical procedures

A partial rupture of the killers of ankle joint is a pretty insidious injury, if he is heated independently at home. The consequences may be disappointing, and without the prospect of full cure for the rest of their lives. Therefore, timely appeal to the doctor is necessary to eliminate the full break of ligaments and appointing adequate treatment.

Only a traumatologist can diagnose a partial breakdown of ankle bias, after a careful inspection of the joint, palpator research and x-ray examination. To clarify parts, magnetic - resonant or computed tomography can be appointed.

Treatment of partial rupture of bundles of ankle joint depends on the severity of damage. In general, standard therapeutic measures contain:

• The imposition of a fixing bandage in order to total motion restrictions in the joint.
• Cold compress on a damaged area may consist only of ice cubes and have exposure time, no less than 24 hours. It is important not to get up muscle fibers of ankle, therefore the frequency of the cold overlapping should have a 10-minute impact every hour.
• A day after receiving a partial gap of the ankle ligaments, it is necessary to fix the joint with an elastic bandage. This will help to prevent the skin of the ankle and will reduce the existing swelling of the joint.
• Anti-inflammatory compresses and ointments can be used only by appointment of a doctor in strictly laid deadline.
• Medicate drugs of internal use are attributed to necessity, but they are not a mandatory treatment point.
• The physiotherapeutic treatment of a partial bundle of ankle ligaments and a massage course to restore the active functionality of the foot are appointed from the fifth day after damage to the ligaments.
• Therapeutic physical culture is contraindicated to the complete disappearance of pain in the joint.
• Operational treatment of such an injury is carried out in a very small percentage of cases, when in addition to bundles, there has been a rupture of the joint and a ligament.

In general terms, the timing of the treatment of a partial rupture of binders of ankle joint is 10-14 days, taking into account the complete restoration of the motor function. But preventive care measures should be mandatory for life, especially since no special requirements for this do not need to be performed.

1. Convenient shoes with the exception of high heels.
2. Diet and normalization of body weight.
3. Tearness in motion and attention on the road.

Being healthy is easier than it seems!

7Sustavov.ru.

The essence and types of bundles of the ankle

Three types of ligaments are located in the field of ankle:

The diagnosis of "rupture of the ankle ligaments" involves a violation of the integrity of one or more of their groups. Depending on the degree of disorders, the integrity of the ligaments determine the type and severity of the gap. Characteristics of damage are identical for all types of joints, they are shown in the table:

Causes of occurrence

Rales of ligaments of any joint occur due to injuries. For ankle articulation, this is:

• pushing the foot inside or outward, which happens when walking on uneven areas, when running, performing physical work;
• straight (front or rear) and side (right or left) blows into the lower part of the tibia with a fixed foot or, on the contrary, strikes on the foot with a fixed shin fixed;
• the re-installing of the foot of the Zada, when a person during walking or running the back of the fingers of the foot touches the elevation or obstacle.

Characteristic symptoms

To suspect the rupture of bias of the ankle joint, as well as ligaments of any other joint, allow such signs and symptoms:

The description of the signs characteristic precisely for the defeat of the binder ankle, are shown in the table:

(if the table is not completely visible - leaf it right)

Treatment methods

Damage to the ligament apparatus of any joint, including ankle, is treated for general principles:

• cooling damaged zone in the first day after injury;
• articulation fixation in order to ensure peace;
• medication treatment;
• physiotherapeutic and thermal procedures in the restorative period;
• medical physical culture and massage.

Such a comprehensive treatment of a bundle of ankle joint is shown to all patients, regardless of the type and degree of damage. In 10-15% of cases, they may additionally need:

Cooling of the injured area

Applying to the ankle of ice or any other source of cold at once or in the first hours after receiving injury reduces pain and prevents the increase in edema. The feasibility of cooling is preserved for 14-18 hours.

Immobilization and fixation

The joint in which the bundle break occurred is necessarily immobilized. For ankle, such fixation methods are suitable:

Fix the rupture of the killets of the ankle joint is necessary so that damaged tissues are in the same position - they will faster and restore. If immobilization is incorrect or not long enough, it will increase the recovery time.

Medications

Medicinal preparations for the ruptures of the binder apparatus of ankle (like any other joint) are of secondary importance. For the purpose of anesthesia, non-steroidal anti-inflammatory drugs are prescribed, reducing edema and inflammation:

Physiotherapy and LFK

Within 3 days after the occurrence of bundles, thermal or other physiotherapy procedures are contraindicated. In the future, they use: UHF, magnetic therapy, paraffin and ozocenite applications, electrophoresis, phonophoresis, warm compresses with alcohol or dimexide.

Therapeutic physical culture should be connected gradually: from the flexitive-extensive movements of the foot with the fingers after the first day of the post-traumatic period to active exercises in which the entire foot (including walking) participates.

If the function of the ankle joint is not restored and the patient cannot walk, there is a need to:

• operations (crosslinking of ligaments in their full break);
• puncture of the joint - with hemarthrosis (cluster of blood in the articular cavity);
• medicinal blockades glucocorticoids (diprospan, betapane, hydrocortisone) - with pronounced and long-term inflammation.

The torn bonds of the ankle are restored from 2-3 weeks to 2-3 months, subject to all the rules of therapeutic regime. Remember this and in no case neglect the recommendations of the specialists!

sustavzdorov.ru. How to treat bunds ankle

The ankle is experiencing a load when driving a different character and intensity: walking, running, jumping, descents and staircases on the stairs. The rupture of the killets of the ankle joint is found not only among athletes: there are a lot of causes of hazardous lesions of tissues with painful symptoms.

How to prevent stretching and rupture of the ankle? How to give first aid? The recommendations of orthopedic and traumatologists will use people of different ages and professions.

Causes of ligament defeat

The defeat of the ligaments often occurs against the background of the action of two opposite factors:

• active sports;
• sedentary lifestyle.

In the first case, the joint-binder constantly is constantly experiencing high loads with long-term high-intensity workouts. Unsuccessful jumps, falls provoke problems with ligaments. Injuries of this kind often pursue football players, skiers, athletes, skaters.

In the second case, the lack of movement reduces elasticity, accelerates muscle and ligament atrophy. Without a sufficient load, the connecting tissue is thinning, becomes loose, does not withstand even minimal loads. You can break the ligaments, even by taking a leg.

Another common situation: damage to the binder apparatus of ankle joint when walking in high heels. Body mass above the norm enhances the severity of the lesion. If the stop is inserted inside, the whole weight is transmitted to a small area, with a low elasticity of tissues often stretch and break the ligaments.

One of the reasons is a strong blow, causing an eyelash. One of the unpleasant consequences: weak bundles are often rushing.

Provocative factors:

• professional sports;
• overweight;
• uncomfortable shoes, high heel;
• stop deformation: flatfoot, closure;
• an ankle joint injury;
• weak elasticity of bundles due to exchange disorders or low motor activity;
• degenerate-dystrophic changes in the departments of the musculoskeletal system in the elderly.

Symptomatics

The rupture of the bust of the ankle has more bright signs than stretching. The patient torments the sharp pain in the affected area, it is impossible to become a problematic leg, it is difficult to move without support.

There are other signs:

• the deception of the affected area;
• internal hemorrhage;
• the ankle is hot to the touch;
• redness of skin over a problem area.

The severity of symptoms depends on the degree of damage to the ligament:

• first. Stretching bundles, tissue breaks on a small area. Small swelling, the mobility of the limb is preserved, the painful syndrome is quite weak;
• second. The gap affects most of the fibers in the zone of ankle. It feels a sharp pain, it is difficult to move, the ethnicity is marked at the top of the foot and the lower part of the shin. Often appears hematoma;
• third. Bundles are completely torn, pain painting, sharp, occurs inner hemorrhage, the edema is significant, independent movement is impossible, treatment is required in the hospital.

First Aid Rules

The defeat of the ankle is often causing a man by surprise. The injured and random witnesses of the injury often do not know what to do. Inexpressive or incorrect assistance enhances negative symptoms, the patient is experiencing severe pain.

First aid: Five important rules:

• restriction of mobility. Fix an ankle with an elastic bandage, a segment of the fabric, a scarf, any submitumed agent. It is important to bandage the problem zone "eight" to fix the ankle well. It is impossible to squeeze the fabric too much;
• cold on the amazed plot. Milk package is suitable, cold water, ice in a fabric bag, packaging frozen vegetables;
• sick leg need to slightly raise: So it will decrease the influx of blood to the affected area;
• acceptance of an anesthetic drug. Any analgesics are suitable, which have a victim or surrounding, even Analgin;
• appeal to the trauma and trauma department Hospitals. The earlier the patient comes to the doctor, the less chance for the development of complications.

Methods and Rules for Further Treatment

After inspection of the ankle, radiography, the MRI traumatologist establishes the degree of damage to the ligament. Therapy is carried out in several directions: elimination of negative symptoms, prevention of complications, restoration of the integrity of the ligament. After healing, the rupture zone restores the functionality of an ankle, the gait is normalized.

With active hemorrhage, strong ethnicity requires removal of blood surplus from the problem zone. The traumatologist conducts puncture of the ankle joint. For anesthetics, a solution of novocaine is used. During heavy cases, the surgeon is required.

Restriction of mobility of ankle

Proper fixation of the affected area is a prerequisite for speedy recovery. The lack of mobility in the initial period of treatment, the optimal pressure on the ankle is necessary for proper splicing of tissues.

The type of gulling bandage depends on the degree of damage:

• first degree - standard 8-shaped elastic bandage;
• the second degree with the supervision of the ligaments is plaster Longets. Wearing time - up to ten days;
• third degree - circular gypsum bandage. Duration of application - from 14 to 21 days.

Medications

Tasks of therapy:

• stop pain;
• reduce humanity;
• improve blood circulation on the affected area;
• reduce the degree of inflammatory process;
• accelerate the healing of ligaments and soft tissues.

For the treatment of rupture of binders of ankle joint, a complex impact is required:

• potent (NSAIDs): ibuprofen, diclofenac, indomethacin, nimesil, nail;
• package compounds: Analgin, Salpaden, Ibuprofen, paracetamol, with the severity of the case - Ketanov (no more than five days);
• injections of hydrocortisone and novocaine to the ankle area with strong pains;
• ointment and heli-angioprotectors. Preparations activate blood circulation, accelerate the resorption by the hematoma, reduce the solidity of the problem zone. Positively affect soft fabrics. Effective means: Lioton, Troxerutin, Troksevazin, heparin ointment, gel with horse chestnut, venoruturt;
• warming ointments are permitted since the third day, the first 2 days are only cold. Effective compositions for local application:, capsicles, Viprosal, Apizartron;
• ointment, gels with anti-inflammatory, anesthetic effect: Dip Rilif, Diclac gel, Voltaren-Emulgel, Dick Hit, Nosecin gel.

Important! Treatment with ointments of the ease, the inflamed ankle is allowed to be allowed only for the integrity of the skin. There is a minimum list of local funds that are allowed to apply to damaged areas. One of the drugs is a popular balm rescuer for healing wounds (green and white stripes are applied on the tube). But this agent is less efficient when tensile and breaking bundles than angioprotectors, Mazi of the NSAID group or warming ups.

Physiotherapy

Procedures accelerate the healing of the problem area, reduce the rality, stop inflammation, reduce pain. Physiotherapeutic impact begins on the second day after injury.

Effective procedures:

• medicinal baths with medicinal injuries, saline, coniferous extract;
• heating UHF;
• appliques with ozokerite and paraffin;
• electrophoresis with hydrocortisone;
• magnetotherapy;
• massotherapy.

Special gymnastics are permitted after removing the locking dressing. The dosage load warns muscle atrophy, improves blood circulation.

How much injury heals

Hurry to restore the condition of the problem site every person who collided with an ankle trauma. Many patients annoy the limitation of mobility, an elastic bandage, analgesics, physiotics, the need for classes in the LFK office. But it is impossible to rush with the end of treatment - Early load on the amazed ligaments is pulling the moment of recovery, provokes complications.

Go to the address and read what thaosinite is and how to treat the disease.

The period of recovery depends on the severity of the case:

• first degree - Complete restoration of mobility takes from 10 to 15 days. The bundling apparatus is completely returning to a normal state, a person can do the usual affairs. A prerequisite - limitation of loads on the lower limbs;
• second degree. Therapy takes about three weeks. After rehabilitation, it is impossible to immediately proceed to active training, it is important to gradually enter the usual rhythm;
• third degree. Treatment longer, takes 30-45 days. After the course of therapy, two-month rehabilitation is required.

With a serious degree of damage to the ligament, over the course of two months, the patient is obliged to carry a fixing bandage. This measure will prevent the re-rupture break, reduce the load during the rehabilitation period.

Reduce the risk of injury to the ankle. Simple measures:

• reasonable loads on the lower limbs;
• motor activity to maintain the elasticity of the ligament;
• wearing convenient shoes with a height of a heel not more than 6-7 cm;
• regular exercises for ankle joint;
• body mass control;
• minimizing the risk of sports injuries;
• treatment of diseases worsening the state of the musculoskeletal system.

The injury to the ligaments provokes negative symptoms, limits the patient's mobility. Competent first aid, timely therapy prevents complications after varying degrees of damage to the ankle joint.

The following video shows to simple exercises To restore ankle after a fracture or breaking bundles:

The rupture of the bundles of the ankle joint most often happens due to heavy loads on it. And so that the ankle can work normally, it is surrounded by a large number of ligaments, tendons and muscles, which act as a joint protection against damage. Ripples of the ligaments often occur due to the rupture of the borders of the ankle.

What symptoms accompany such a gap, what treatment is assigned, you will learn below. You will also see a photo of examples of ruptures of ankle.

Bundles of the ankle joint: gaps

The reason for the rupture of the bias of the ankle joint is often severe efforts for sports activities . In some cases, the breaks occur and due to the insufficient number of walks on the street: the fact is that the human muscle apparatus in the absence of physical activity is wearing, muscles and ligaments lose their functions, and often atrophy. Bleckings of the ligaments often occur at older when they become weak, and the muscles lose their former elasticity. And any sharp movement can cause the rupture of bundles of ankle.

Symptoms of bundles of the ankle joint

Symptoms when rupting an ankle is inextricably linked with what severity was injured. There are three degrees of tensions of the joint bundles, each degree has its own symptoms:

With the appearance of one or another symptom of bundles, a person must go to the doctorSo that he was given timely help and he had the opportunity to walk in the future.

How to diagnose the rupture of the killets of the ankle joint?

The rupture of the bust of the ankle can be diagnose in the following ways:

• radiography. Thanks to the snapshot, you can reveal the fracture of the joint or the displaced ankle. Such diagnosis is the most efficient and truthful if properly was performed;
• magnetic resonance imaging. This type of diagnostics is needed to determine the state of ligaments, tendons and muscle tissues. It has a precise degree of injury to the joints.
• Injuries of the ankle joint most often occur due to excessive passion for sports, bouncing in height and other reasons.

Treatment of rupture bundles of ankle joint

If the doctor during inspection diagnosed only partial damage to the bonds of ankle, then it is possible to treat it at home. Need to observe gentle mode, and the injured foot needs to be fixed by means of a special dressing. And the first days should be additionally applied to the place of damage to the ice. On the third or fourth day after injury, the joint should warm up. The breakdown break is not a disease that requires compliance with the beddown. You need to move in the same mode, but the damaged joint needs to be securely secured and do not fully rely on it.

If you treat the rupture of the ankle joint strictly on the prescription of the doctor, the treatment will pass fast enough. The patient will be able to move normally after a couple of weeks, but at this time the joint can not be overloaded too much.

The rupture of the tendon should be treated well, and to ensure a tight fixation to the patient align plaster Langet.. Physiotherapy is practiced three days after injury. Treatment occurs for at least 3 weeks.

When it comes to not partial, but the full break of bundles of ankle joint, the treatment takes place in the hospital. The symptoms are like that:

• severe pain in the joint area;
• swelling;
• often body temperature rises.

To remove strong pain, the doctor can make an anesthesia injection. Sometimes local puncture is performed to remove blood with the introduction of novels into the joint. The gypsum bandage is superimposed on the damaged joint for a period of about a month.

In stationary conditions, the treatment of ruptures of the ankle joints implies physiotherapy and receiving medicines. It is advisable to move the sick feet with the fingers so that the ligaments rather have grown and eat enough. After removing the gypsum, it is best to continue treatment with a sanatorium method for several months.

Methods for the treatment of rupture binders of ankle

Blanks of the ankle joint treat such methods as:

Methods for treating partial damage to ligaments

If the injury is partial, then use medical equipmentThey are intended for local and internal use. The motor function of the body is restored as follows:

edems, inflammation and internal microarbers are treated with medication;

laying of a fixing orthopedic system into place of injury;

physiotherapy;

general restoration of human motor functions.

Restorative events

In order for the body to recover faster after damage to the killers of ankle joint, diet should be observedwhich is built on the consumption of protein products, in particular:

• meat;
• canned meat;
• dairy and milk;
• fish;
• fish fat;
• eggs and other protein products.

The protein needs the body to restore damaged bone tissues. Organism restores two weeks. In some cases, treatment and recovery period can last longer.

Possible consequences of rupture binders of ankle

If a person has injured an ankle joint, he needs to turn to the doctor in time so that he takes all measures for effective treatment. It is necessary to comply with all the prescriptions and recommendations of the specialist. You need to wear a tight bandage and after the end of treatment for some time, it will help prevent re-stretching or breaking the ligaments. Dressings will help to recover faster after injury and resume Sustav's work.

If the patient does not comply with all the recommendations of the doctor, that is, the probability of incorrect battle. This can provoke the development of ankle arthritis. Also, with the wrong incarnation of tendons during walking, a person may experience severe pain and discomfort. There are also extremely difficult cases when the patient loses disability and becomes disabled.

This conclusion can be made: if the trauma is considered to take enough seriously and not neglect treatment, then the chances of recovering are very high. All correctly performed therapeutic procedures give a chance to recover very quickly after the disease and return to the previous lifestyle.

Now you have an idea of \u200b\u200bthis variety of traumaticity and about his symptoms. Also you have idea of \u200b\u200bthe nature of this syndrome and methods of his treatment. Health should be preserved, even after recovery, do not overload the joints exerciseTo prevent a re-rupture. It is not even recommended for a long time for a long time, and a little later, such walks will only be useful.

The ability to move to a person correctly and confidently provides an ankle joint. With it, you can go down the stairs. Do rotational motionsAt the same time not torn feet from the floor.

The ankle joint allows you to work a foot, which provides a sustainability body. This is a kind of support, but very reliable. In order for the foot to rise or fall the ankle. So that there was an opportunity to move the movements on the side of the tanning and heel bone, which are interconnected.

The structure of the ankle joint

Consider the structure of the ankle. It is a node that is connected by the bones. In the joint of the ankle there are four main bones. It also has fibers that are called bundles. They must keep bones, but do not shoot their movements. Bundles allow you to make movements of different amplitude. Bundles must be elastic.

Be sure to be vessels in the joint. They are needed for normal blood circulation. They are not believed to the components of the ankle joint, but without them he will not fulfill its purpose.

The structure of ankle joint and ligaments

Compare an anatomy of ankle joint is permissible with a bag that has 2 layers. It is in it that bones are connected. The main purpose of the bag is to create tightness and reproduce a special synovial fluid. She will fill all the cavities.

Bones in the joint

The ankle joint is located at the junction of two bones:

• big Berchova;
• malobersova.

They form a cavity, where the joint himself is located. Therefore, at the time of movement, the large load falls on the bone. Due to the fact that all body weight is to be on an ankle joint.

Bone groove will be divided into several parts:

• Outdoor ankle.
• Inner surface.
• The distal surface of the big berth bone.

Bones of ankle Sustava

On the first ankle are fixed:

• the formation of connective tissue;
• connecting sheath;

At the same time, all bone components of the joint and foot will be born to the tendons, muscles, joints. They give an ankle flexibility. The depreciation function increases while moving.

Muscles

In order for the ankle to be moving, it is 8 muscle beams in it, with their help, bending, extension and rotation occurs.

Therefore, a person in motion retains the balance, the legs are not wrapped. You can make rotational movements, and the muscles will guarantee complete safety.

If there is a violation of muscle contraction or their flexibility will become an insufficient person will not be able to move correctly in uneven places. will turn out and, possibly, getting injuries. For the same reason, an ankle joint may be injured.

Muscles are a joint located in the foot:

• Fucking. These include feet flexors, plantar, trite, rear tibial.
• Extensive. It will be the muscles of the extension fingers on the legs and the front tibial muscle.
• Muscles that guarantee rotation. This is a long and short little metal muscle. Such muscles are called Pronators.
• Big finger extensors, Maloberstar muscle front. They are called supinators.

The structure of the muscles of the ankle joint

The work of all components will ensure the clear work of the ankle joint.

Bundles and tendons are needed to maintain bones. They do not allow them to move and control the movements of the joint.

Bundles of ankle have three groups:

• Bunch between beam bones, It is called interstitial bundle.
• To prevent the collapse of the joint in it there is a deltoid bunch or medial. There is still a Taranno-Malobers and Heart and Malobersovaya, which are attached to the lateral ankle.
• Controls rotational movements Targertic bunch. It will be the rear bunch. But in the ankle joint there is the same front bunch.

Bundles and tendons of ankle

The ankle joint is arranged on a block principle. There is a heel tendow in the joint. With it, the joint becomes durable and can withstand the load of more than 300 kg.

Functions of the heel tendon:

• provides vertical movement of a person;
• performs the role of a peculiar shock absorber when walking;
• stop moves with it;
• the presence of a heel tendon allows a person to move rather quickly and jump.

When developing pathologies, it may be deformed. Injuries, supercooling, uncomfortable shoes contribute to this.

The stories of our readers!
I want to tell my story, how I cured osteochondrosis and hernia. Finally, I was able to overcome this unbearable back pain. We lead an active lifestyle, I live and rejoice every moment! A few months ago I twisted me at the cottage, a sharp pain in the lower back did not move, did not even be able to go. The doctor in the hospital diagnosed osteochondrosis lumbar Department Spine, Hernia Disk L3-L4. I prescribed some kind of medicine, but they did not help, to endure this pain was unbearable. They called an ambulance, they set the blockade and hinted for the operation, all the time thought about it, that I would find a burden for the family ... Everything changed when the daughter gave me one article on the Internet. You can not imagine how much I am grateful for it. This article literally pulled me out of a wheelchair. The last months began to move more, in the spring and summer every day I go to the cottage. Who wants to live a long and energetic life without osteochondrosis,

For normal operation of the ankle joint, normal blood circulation is needed.

It provide 3 arteries that pass through it:

• The rear islerts.
• Front Malobers.
• Tolebly.

Arteries and vessels

All of them are branched down and the ankle areas and clasp an ankle joint from all sides. Blood on the veins passes through the inner and external vessels that form connections. These are subcutaneous and tibial veins.

Damage to the ankle sustava

The joint of the ankle consists of bones, which are interconnected. It contains bundles, articular fluid. All this mechanism will only work with the integrity of all elements. But they often appear injuries, they can cause a violation in the musculoser.

Possible injuries on the ankle joint:

• injury and;
• dislocation;
• subways;

Dislocation of ankle

To do this, it can even be quite an awkward movement, which will lead to injury. If the fabric effect happened, the doctor diagnoses the injury. At the same time, the swelling appears, a small pain. The patient can step on the leg, but it is discomfort.

Quite often dislocations and sublissions. Very often happens and the fracture of the ankle. What happens to ankle upon dislocation? The position of bones is changing in the joint, weak bundles are damaged, it may even take place.

When the joint is slightly displaced, and the points of contact are not violated, diagnose subluxy. In this case, the pain and functions of the joint will be disturbed. But all the symptoms are not strong.

Damage to ligaments usually occurs as a result of the dislocation of the ankle joint. Often, bundles are found in a child who is engaged in sports or gymnastics.

What is characterized by bundles:

• the patient turns his leg and rely on it at that moment, it can break the ligament;
• bundles are stretched;
• hemorrhage occurs on both sides of the joint;
• in this place the swelling is manifested;
• severe pain when turning the feet inside;
• in case of inspection and touch, the patient will feel quite severe pain;
• the tension of the ligaments may be accompanied by a fracture of the bones of the foot. Usually it is the 5th tie bone;
• if a person's fracture occurred, there will be very strong pain, especially when touched to this place.

There is a break of the bundles of the ankle joint. In this case, there is a feeling of donuma in the ankle joint. The injury place will be blue. The pain will be strong and the person will not be able to move independently.

The complex injuries include the fracture of the ankle joint, while the patient will be:

• Strong and sharp pain, temperature.
• The characteristic edema appears.
• The ankle joint shifts.
• It is impossible to rely on it.
• He will differ from the joint on a healthy leg even in appearance.

Types of fractures:

Fracture of the fifty bone

• fracture of outdoor ankle. It is also referred to as an isolated fracture of a mobility bone. At the same time, it usually occurs the fugats of the foot;
• fracture of internal ankle It is characterized by damage to the rear edge inside the bertic bone and the fodder of the foot;
• if a person falls from a fairly large height on his feet can turn the tanta bone. This is a rather complicated fracture in which the blood supply to the ankle joint is disturbed.

Any injury to the joint of the ankle requires examination of a doctor and treatment, as it will not work independently to cure a serious injury.

Injuries on the ICD-10 of the foot belong to the section with the code S93:

• S93.0 - dislocation of ankle joint.
• S93.2 - Tarve the ligaments of the foot or ankle joint;
• S93.3 - Dislocate any part of the foot.
• S93.4 - Strong tension and stretching of bundles of ankle joint.
• S93.5 - stretching and strong tension of the fingertips of the legs;
• S93.6 - injury and stretching of bundles in the joints of the foot.

When diagnosing the doctor will install the stretching code and can choose the treatment correctly.

Characteristic signs of bundles

Breaks of ligaments have a different degree and changes covered in the ankle joint depend on this:

• Stretching. At the same time, the bunch loses its elasticity, but does not break completely. It continues to support the joint.
• Partial gap. In this case, the integrity of the ligament will violate. The joint will become unstable.
• Full break. At the same time, the bunch is broken completely. The joint becomes unstable and breaking. Fully there will be no fixation of the ankle joint.
• Special damage to ligaments. At the same time, the bunch is a bit stretched, but a little breaks away from the bone. In this case, complex damage to the ligaments are detected and calls it osteoepiumolysis.

Signs of tensile bonds of ankle:

• The pain does not appear when the ankle joint is at rest. But she becomes sharp when trying to stand up and will be felt at the place of breaking bundle. The stronger the pain, the more the bunch is damaged.
• Edema. He begins to appear gradually. Initially, a small swelling will appear and only a few hours later the whole ankle will become edema. He can stay within a month.
• Bruise or hematoma. They appear when the ankle bundles are breaking. If the ligament damage is slightly noticeable blue shade. With imminent syncity after injury, it is usually strong damage. The blue skin, the more difficult injury.
• The ankle is not functioning normally. In this case, people begin to lick, feel pain when leg. If the bundle rupture occurred, the pain feels sharply. When touched, the patient is also quite severe pain.

Degree of stretching

Diagnostation

After disrupting the functions of the ankle joint, it is necessary to contact the hospital for diagnostics. The main type of diagnosis is x-ray.

An examination of the patient should a traumatologist or surgeon:

• Primary inspection. At the same time, he listens to the patient's complaints.
• Survey of the victim Palpation places.
• It is usually not without an X-ray picture. But this will decide the doctor.
• If necessary, make magnetic resonance tomography.
• Ultrasound procedure (Ultrasound) is carried out as an additional.

The complexity of the diagnosis lies in the anatomical features of the ankle.

Treatment of ankle injury

Only, the doctor can determine the complexity of the injury. But it is necessary to fully diagnose to choose the right treatment.

Bandages when tensile ligaments

To reduce swelling and pain use cold compress. To do this, you can use ice or towel moistened in cold water. In general, any cold subject is suitable. Such a compress will be effective in the first 12 - 18 hours after injury.

It is necessary to carry out immobilization or fix the joint of the ankle:

• suitable. It is used when stretching, breaking and during restoration;
• ortez performs the functions of a tight dressing and replaces the elastic bandage. Its use is more convenient;
• gypsum or Langet is superimposed in the hospital. It can be left for a month. It all depends on the severity of injury.

Fixation is needed that the fabrics began to grow and restore. If this is not done on time, the treatment will delay for a long time.

Elastic bandage

Medications

The treatment of breaking bundles will not be without the use of drug treatment with drugs, but they are always secondary:

• Removing inflammation.
• Reducing pain.
• Reliable swelling.

Can be applied:

• Injections, injections - For them, Ketanov, rheumoxicians, Movieda are prescribed.
• Oral tools, tablets -, Larfix, Nimesulid.
• Local anesthesia- Fast Gel, Diklak Gel, Finalgon, Hepatrombin.

Ketanov in ampoules and tablets Molovas Diclofenac
Ointment for pain relief Finalgon nimesulide in tablets Fast Gel

Preparations appoint a doctor. Can be seamless, which are capable of improving the therapeutic effect.

Operational intervention

The operation on the bundles of the ankle joint is carried out with strong damage. Especially if the gaps are very complete.

Do not do without surgical intervention, if an open bundle of the ankle occurred:

• The operation is carried out no later than in 30 days. If this is done later, it will not be possible to avoid complications and a long period of recovery.
• To restore the ligament, the plastic surgery is fully required.
• The tissue of the damaged ligament is sewn.
• The connecting bone tissue and the elements of the joint capsule are also stitched.

If there is not enough material, implants can be used for plastics. For this use nearby fabrics that are similar in their properties.

Physiotherapy

The first 3 days cannot be carried out any physiotherapy. It is just forbidden to do.

Then the doctor can be used as an appointment:

• appliques from ozokerite or paraffin;
• electrophoresis;
• heating from alcohol or anti-inflammatory agent;
• apparatus Almag for home use;
• phonophoresis and ultra-frequency therapy;
• massage.

An important role is played by therapeutic physical culture or leaf. Begin to gradually increase the load, and the work of the joint and the strengthening of muscles and ligaments occurs. Start it no earlier than 3 days of treatment.

Exercise is done at least 3 times and 10 approaches:

• Exercise No 1. It is necessary to strain the muscles in the footsteps of the left and right leg and lower legs.
• NO 2 exercise. Quickly sort out your fingers, and then move the knee joints. A week later, the exercises are slightly complicated.
• Exercise NO 3. You need to get up on the foot and climb on the socks.
• Exercise NO 4. To the fingers need to tighten any item on yourself.
• Exercise NO 5. Walk at least 2 hours, every day on a flat surface.
• Exercise NO 6. Stretching bundles with an expander, elastic bandage.

Therapeutic physical education at an ankle injury

After such exercises, blood circulation will be restored, and the muscles return to the desired tone. All exercises need to be coordinated with the doctor.

In order to restore the ankle joint, it is permissible to use tipping:

• To do this, use a special plaster - TEYPWhich is made of cotton and lycra. Because of the combination of two materials, it stretches well, passes the air and fits the ankle well.
• It is impregnated with special glue and strengthen on the leg. Therefore, it can be used when swimming, physical education classes.
• It is used for quite a long time.It allows you to strengthen the muscular frame in the area of \u200b\u200binjury and to conduct immobilization of ligaments.

Tipping

Before using any treatment, you need to consult with your doctor.

Complications and rehabilitation

Quite often, after stretching bundles in ankle, complications may appear. Thus, it will occur with late treatment of hospital, improper treatment or rehabilitation, with very complex injury. Heals the injury of ligaments for a long time, on average from month to six months.

The consequences that are manifested for several years:

• the formation of abscess;
• hemorrhage into the joint;
• dislocation of the joint;

If the formation of nodules occurred during ligaments, the patient may experience a constant pain.

With the right rehabilitation period, any complications can be avoided, the restoring effect on the sore joint has physiotherapy:

• relieve pain;
• restore blood circulation;
• prevent the development of the inflammatory process;
• restore the metabolism;
• normalize the outflow of lymphs, which contributes to the best absorption of drugs.

Bruise of ankle Sustava

Ears can have different severity:

• In the first case, skin cover is almost not damaged. There may be scratches. It usually passes through a short period of time.
• With a second degree, the muscles break occurs, Swells appears and hematoma can manifest. The pain is acute and strong.
• At 3 degrees, damage to the tendons and muscles. Sometimes it comes to dislocation.
• With 4 degrees of gravity of bruises, changes will occur which will affect the quality of life. The ankle will not be able to perform any functions.

Diseases of bundles of ankle

Other diseases of the ligaments:

• inflammation. It may begin to develop when weakening immunity or sitting lifestyle;
• distortion ligaigs Call stretching or supervision. The disease can begin with a sharp load. In this case, the articular cartilage may be damaged;
• outdiction of ligaments In the ankle joint, it occurs during injury and manifests itself in the form of bone shadows;
• stop Tendtion is a pathological process that contributes to damage to the tissues of bundles and the development of inflammation;
• with long overvoltage of ligaments It is almost impossible to avoid their damage. It can lead to the development of inflammation, chronic pain;
• with league ligaments The ankle occurs damage to the longest plantar bundle. Ligamines occurs when infection or injury gets.

Treatment of bundles of ankle at home

If the stretching is not very strong and an ankle survey was conducted, it can be treated at home by folk remedies:

• Underlet crude potatoes are applied to the patient.
• Make a compress from the grated bow and sugar, you can often be treated with such a means.
• Saletz, garlic need to be confused. Add eucalyptus leaves and strain through the gauze and the resulting liquid must be rubbed into the patient.
• Multiple cloves of garlic pour vinegar, better apple and vodka. Insist for 14 days. Then add 20 drops of eucalyptus oil to it and use for compress on a sinnostop.
• Apply fresh bezen leaf.

Step-by-step instructions for first aid to the victim of a person upon receipt of injury:

• Remove shoes.
• To the leg so that it fixes the ankle joint.
• Attach cold compress to the sore joint.
• Call an urgent or accompany a person to the hospital. Especially if hematoma or strong swelling appeared.

First aid when stretching

Hospital when tensile bonds of ankle

Depending on the severity of the injury, the patient can get a hospital sheet. It is necessarily given when conducting operational interference and the diagnosis of tensile ligaments. The duration of treatment depends on the outpatientness depends on the state of the patient and the opinion of the attending physician.

If a spin hurts, neck or loin, do not tighten the treatment if you do not want to finish in a wheelchair! Chronic many pain In the back, neck or lower back - the main sign of osteochondrosis, hernia or other serious illness. Treatment must be started right now ....