慢性踝关节不稳发病机制研究进展

doi:10.13418/j.issn.1001-165x.2026.2.18

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中国临床解剖学杂志 ›› 2026, Vol. 44 ›› Issue (2) : 239-241. DOI: 10.13418/j.issn.1001-165x.2026.2.18

综述

慢性踝关节不稳发病机制研究进展

陈立煜^1,2#，张秀瑞^2#，肖进^1,2*

作者信息 +

Research progress on the pathogenesis of chronic ankle instability

Chen Liyu^1,2# , Zhang Xiurui^2#, Xiao Jin^1,2*

Author information +

文章历史 +

摘要

慢性踝关节不稳（Chronic ankle instability, CAI）是一种由急性踝关节扭伤引发的复杂病理状态，表现为反复的关节不稳、功能障碍及活动受限。虽然CAI的临床表现已经得到广泛认识，但其具体的发病机制尚未完全明确。本文系统回顾了CAI的发病机制，重点分析了解剖学基础、韧带损伤导致的原发性损伤，病理机械性改变、感觉-知觉障碍以及运动行为障碍等，并比较了传统分类方法与新兴多维模型的特点，提出综合不稳理论对临床评估的重要性。为未来研究和临床实践提供了一定的启发。

Abstract

Chronic Ankle Instability (CAI) is a complex pathological condition triggered by acute ankle sprains, characterized by recurrent joint instability, functional impairments, and activity limitation. Although the clinical manifestations of CAI are widely acknowledged, its specific pathogenesis have not been fully clarified. This review systematically examines the pathogenesis of CAI, with a particular emphasis on its anatomical foundations, primary injuries due to ligamentous injury, pathomechanical impairments, sensory-perceptual impairments s, motor- behavioral impairments,. Additionally, it contrasts traditional classification approaches with emerging multidimensional models, highlighting the clinical significance of the comprehensive instability theory in assessment. This review offers valuable insights for advancing future research and optimizing clinical practice.

导出引用

陈立煜, 张秀瑞, 肖进. 慢性踝关节不稳发病机制研究进展[J]. 中国临床解剖学杂志. 2026, 44(2): 239-241 https://doi.org/10.13418/j.issn.1001-165x.2026.2.18

Chen Liyu , Zhang Xiurui, Xiao Jin. Research progress on the pathogenesis of chronic ankle instability [J]. Chinese Journal of Clinical Anatomy. 2026, 44(2): 239-241 https://doi.org/10.13418/j.issn.1001-165x.2026.2.18

中图分类号： R658.3

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