Mavi Ayfer, Yildirim Hanifi, Gunes Hasan, Pestamalci Turan, Gumusburun Erdem
Department of Anatomy, Faculty of Medicine, Gaziantep University, 27310 Gaziantep, Turkey.
Saudi Med J. 2002 Jul;23(7):845-9.
The aim of this study was to investigate the fibular incisura of the tibia in type I and II recurrent sprained ankle.
A total of 18 limbs (9 right, 9 left) were examined for the fibular incisura of the tibia by magnetic resonance imaging at Gunmar Magnetic Resonance Imaging Center between September 2000 to May 2001. This group consisted of 10 males and 8 females and their age ranged between 18-61 years. The control group was made up of 75 participating volunteers without previous history of trauma in the ankle.
The measurements of the length of the anterior and posterior facets, depth of the fibular incisura of the tibia and the distance between anterior margin of the tibia and anterior margin of the fibula in the patient group were visibly different from the measurements of the control group. In recurrent sprained ankle, the anterior and posterior tubercles were lengthier, the depth of the fibular incisura of the tibia was deeper and the fibula was more anterior than the control group. The measurements of the angle between anterior and posterior facets and the vertical distance of tibiofibular overlapping in the patient group were slight different from the measurements of the control groups.
These characteristics, which were observed in the recurrent sprained ankles, may be anatomically predisposed to recurrent ankle sprains.
本研究旨在调查Ⅰ型和Ⅱ型复发性踝关节扭伤患者胫骨的腓骨切迹情况。
2000年9月至2001年5月期间，在Gunmar磁共振成像中心对18条肢体（9条右侧，9条左侧）进行胫骨腓骨切迹的磁共振成像检查。该组包括10名男性和8名女性，年龄在18 - 61岁之间。对照组由75名无踝关节既往创伤史的志愿者组成。
患者组胫骨前、后关节面长度、胫骨腓骨切迹深度以及胫骨前缘与腓骨前缘之间的距离测量值与对照组明显不同。在复发性踝关节扭伤中，与对照组相比，前、后结节更长，胫骨腓骨切迹更深，腓骨位置更靠前。患者组前、后关节面之间的角度测量值以及胫腓骨重叠的垂直距离与对照组略有不同。
在复发性踝关节扭伤中观察到的这些特征，可能在解剖学上易导致复发性踝关节扭伤。
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