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[急性腓骨囊韧带损伤时进行踝关节上关节应力X线成像是否需要手术?一项实验研究]

[Does performance of a stress roentgen image of the upper ankle joint in acute fibular capsule ligament lesion entail an operation? An experimental study].

作者信息

Paar O, Kasperk R, Nachtkamp J

机构信息

Chirurgische Klinik, RWTH Aachen.

出版信息

Sportverletz Sportschaden. 1991 Jun;5(2):99-102. doi: 10.1055/s-2007-993571.

DOI:10.1055/s-2007-993571
PMID:1925932
Abstract

In an experimental study the sequelae of performing stress films on the ruptured lateral ligaments of the ankle joint are documented. It is shown that stress films may cause further damage on the ankle capsule when there is ligamentous disruption. After performance of stress studies a sufficient realignment of the interrupted ligaments by immobilization of the foot in a neutral (right angle) position can not be achieved. This makes, at least for younger patients, operative therapy after positive stress films advisable.

摘要

在一项实验研究中,记录了对踝关节外侧韧带断裂进行应力位片检查的后遗症。结果表明,当存在韧带断裂时,应力位片可能会对踝关节囊造成进一步损伤。在进行应力位片检查后,通过将足部固定在中立(直角)位置,无法使中断的韧带充分复位。这使得至少对于年轻患者而言,在应力位片检查结果呈阳性后进行手术治疗是可取的。

相似文献

1
[Does performance of a stress roentgen image of the upper ankle joint in acute fibular capsule ligament lesion entail an operation? An experimental study].[急性腓骨囊韧带损伤时进行踝关节上关节应力X线成像是否需要手术?一项实验研究]
Sportverletz Sportschaden. 1991 Jun;5(2):99-102. doi: 10.1055/s-2007-993571.
2
Acute rupture of the lateral ligaments of the ankle joint, diagnosis and surgical treatment.踝关节外侧韧带急性断裂:诊断与外科治疗
Am Surg. 1979 Jul;45(7):465-70.
3
[Roentgen diagnosis of fresh lateral ligament and capsule injuries of the upper ankle joint in adults. 2: Roentgen diagnostic stepwise program].[成人新鲜踝关节外侧韧带和关节囊损伤的X线诊断。2:X线诊断分步方案]
Z Arztl Fortbild (Jena). 1985;79(24):1037-41.
4
[Fresh ligament injuries at upper ankle joint and foot (author's transl)].踝关节上部和足部的新鲜韧带损伤(作者译)
Langenbecks Arch Chir. 1981;355:435-42. doi: 10.1007/BF01286885.
5
[Technic and diagnostic value of so-called stress x-rays in injuries of the fibular ligaments (author's transl)].[所谓应力X线检查在腓侧韧带损伤中的技术及诊断价值(作者译)]
Unfallchirurgie. 1982 Apr;8(2):99-104. doi: 10.1007/BF02585663.
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Operative management of ligamentous injuries to the ankle.踝关节韧带损伤的手术治疗
Clin Sports Med. 1982 Mar;1(1):117-30.
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[Indications for surgery in ruptures of ankle joint ligaments (author's transl)].
Aktuelle Traumatol. 1981 Oct;11(5):151-5.
8
[Fibular injury of ligaments of the upper part of the ankle joint. Contribution to the roentgen diagnosis].[踝关节上部韧带的腓骨损伤。对X线诊断的贡献]
Helv Chir Acta. 1985 Apr;52(1):201-4.
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[Rupture of lateral ligaments of the ankle. Diagnosis and treatment].[踝关节外侧韧带断裂。诊断与治疗]
Tidsskr Nor Laegeforen. 1977 Oct 10;97(28):1451-2.
10
Ankle arthrography in acute injuries.
Ann Clin Res. 1984;16 Suppl 40:10-3.

引用本文的文献

1
Diagnosis and treatment of acute ankle injuries: development of an evidence-based algorithm.急性踝关节损伤的诊断与治疗:循证算法的制定
Orthop Rev (Pavia). 2012 Jan 2;4(1):e5. doi: 10.4081/or.2012.e5. Epub 2011 Dec 14.