Simanowski J H
Klinik für Thorax-, Herz-, Gefäss- und Allgemeinchirurgie, Medizinische Hochschule, Podbielskistrasse 390, 30659 Hannover.
Orthopade. 2002 Mar;31(3):317-8. doi: 10.1007/s00132-001-0262-0.
Direct sonographic examination of the lateral ligaments of the talocrural joint after fresh, primary supination trauma, without the need for local anesthesia, is an extremely cost-effective and reliable tool to evaluate the ligamentous state. After clinical evaluation and a native X-ray to exclude any osseous lesions, ligamentous tear stability should be tested--either indirectly with classic radiology or directly with sonography. We assume that because of the complete and direct depiction of the fibular ligamentous structures there is no diagnostic alternative to using the 12-MHz technique of modern high-end devices.
对于新鲜的原发性旋后创伤后的距小腿关节外侧韧带,无需局部麻醉即可直接进行超声检查,这是评估韧带状态的一种极具成本效益且可靠的工具。在进行临床评估和拍摄普通X线片以排除任何骨质病变后,应检测韧带撕裂的稳定性——可通过经典放射学间接检测,也可通过超声直接检测。我们认为,由于现代高端设备的12兆赫技术能够完整、直接地显示腓骨韧带结构,因此在诊断方面没有其他可替代的方法。