Raatikainen T, Putkonen M, Puranen J
Department of Surgery, University Central Hospital, Oulu, Finland.
Am J Sports Med. 1992 Jan-Feb;20(1):2-6. doi: 10.1177/036354659202000102.
We examined 188 consecutive patients, each of whom had an acute ankle sprain, using clinical stability assessment, stress radiographs, and arthrography to compare the reliability of these methods used in diagnosing lateral ligament ruptures of the ankle. Sixty-six of the ankles were treated operatively. Arthrography accurately detected ligament damage in all of the patients with this injury and revealed the extent of the injury in about 85%, whereas clinical examination and stress radiographs detected only about half of the injuries. The injuries and the results of these two methods were often controversial, as our study will show.
我们对188例连续的急性踝关节扭伤患者进行了检查，通过临床稳定性评估、应力位X线片和关节造影来比较这些方法在诊断踝关节外侧韧带断裂中的可靠性。其中66例踝关节接受了手术治疗。关节造影能准确检测出所有此类损伤患者的韧带损伤情况，并能显示约85%的损伤程度，而临床检查和应力位X线片仅能检测出约一半的损伤。正如我们的研究所显示，这两种方法的损伤情况及结果常常存在争议。
