Miyamoto Wataru, Takao Masato
Wataru Miyamoto, Masato Takao, Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo 173-8605, Japan.
World J Orthop. 2011 Jan 18;2(1):1-6. doi: 10.5312/wjo.v2.i1.1.
Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture. In such injury, not only inadequately treated or misdiagnosed cases, but also correctly diagnosed cases can possibly result in a chronic pattern which is more troublesome to treat than an acute pattern. This paper reviews anatomical and biomechanical characteristics of the distal tibiofibular joint, the mechanism of chronic disruption of the distal tibiofibular syndesmosis, radiological and arthroscopic diagnosis, and surgical treatment.
胫腓下联合分离常伴有旋转移位型踝关节骨折，如旋前-外旋型骨折，极少在无踝关节骨折的情况下单独发生。在这种损伤中，不仅治疗不当或误诊的病例，而且正确诊断的病例也可能导致慢性病变，其治疗比急性损伤更为棘手。本文综述了胫腓下关节的解剖和生物力学特点、胫腓下联合慢性损伤的机制、影像学及关节镜诊断以及手术治疗。
