Gebing R, Fiedler V
Institut für Röntgendiagnostik, Städtische Krankenanstalten Krefeld.
Radiologe. 1991 Dec;31(12):594-600.
Nearly 40 years after ankle arthrography was first introduced, the anterior and inversion stress views of the ankle are still widely preferred as a noninvasive method of evaluating ligament injuries in the upper ankle. We consider the stress test, bilaterally performed using a standardized stress apparatus, as a basic examination by which to differentiate between slight and severe sprain. Intensive muscle splinting due to painful swelling can sometimes be treated by injection of local anesthetic. Like many authors, we perform ankle arthrography in cases where there is a significant difference between the clinical findings and the stress test. The technique of ankle arthrography can be readily learned and is extremely accurate in delineating the extent of ligamentous injury produced by moderate or severe ankle sprains. It can be performed in any X-ray department.
在踝关节造影首次被引入近40年后，踝关节的前位和内翻应力位片作为评估上踝关节韧带损伤的一种非侵入性方法，仍然被广泛采用。我们认为，使用标准化应力装置双侧进行的应力试验是区分轻度和重度扭伤的基本检查方法。因疼痛肿胀导致的肌肉强烈痉挛有时可通过注射局部麻醉剂来治疗。与许多作者一样，我们在临床检查结果与应力试验结果存在显著差异的情况下进行踝关节造影。踝关节造影技术易于掌握，在描绘中度或重度踝关节扭伤所致韧带损伤的范围方面极其准确。它可以在任何X光科室进行。
