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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.

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。

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