歩行中や運動時に足首をひねるなどして靱帯（じんたい）を痛める足首ねんざ。気付かぬうちに骨折していることもあるので注意が必要だ。太っている人や、平衡感覚が衰える中高年の人はひねった時に足に余分な力がかかり骨折しやすい。
軽いねんざなら安静にしていれば1日程度で治る。痛みなどで歩きにくい重度のねんざでは弾性包帯や治療用のサポーターなどで固定して数週間安静にする。た
だ足首がひどく腫れて痛みが治まらず、足を着いて歩けない場合は骨折かもしれない。レントゲン撮影で診断を受けた方がよい。
ひねった勢いで靱帯が骨を引っ張り、骨のかけらがはがれる剥離（はくり）骨折が多い。くるぶしの周囲で起きやすく握り拳のように腫れ上がる。かけらが小さ
く元の場所に近い場合はギプスで4～6週間固定する。かけらが元の骨から1センチメートル以上離れると手術で元に戻す必要がある。
順天堂大学の黒澤尚教授（整形外科）は「治りをよくするため、ひねったらまず氷袋でよく冷やして」とアドバイスしている。
足首をひねったときに起こりやすいけが
- 足首ねんざ
症状：靱帯が損傷。腫れや痛みがある
治療：弾性包帯などで固定 - 剥離骨折
症状：足をひねったときに骨片がはがれ、ひどく痛む
治療：ギプスで固定。手術が必要なことも - ひび（骨折）
症状：足首の外側の細い骨にひびが入り激痛がある
治療：ギプスで固定
引用元：2008年12月14日 日経新聞SUNDAY NIKKEI「１分間人間ドック」より
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