踝关节联合损伤。
Syndesmosis injuries.
机构信息
Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, MC 6342, Redwood City, CA, 94063, USA,
出版信息
Curr Rev Musculoskelet Med. 2013 Dec;6(4):304-12. doi: 10.1007/s12178-013-9184-9.
Abstract
Traumatic injuries to the distal tibiofibular syndesmosis commonly result from high-energy ankle injuries. They can occur as isolated ligamentous injuries and can be associated with ankle fractures. Syndesmotic injuries can create a diagnostic and therapeutic challenge for musculoskeletal physicians. Recent literature has added considerably to the body of knowledge pertaining to injury mechanics and treatment outcomes, but there remain a number of controversies regarding diagnostic tests, implants, techniques, and postoperative protocols. Use of the novel suture button device has increased in recent years and shows some promise in clinical and cadaveric studies. This article contains a review of syndesmosis injuries, including anatomy and biomechanics, diagnosis, classification, and treatment options.
摘要
下胫腓联合的创伤性损伤通常是由高能踝关节损伤引起的。它们可以作为孤立的韧带损伤发生，也可以与踝关节骨折有关。下胫腓联合损伤给肌肉骨骼医生的诊断和治疗带来了挑战。最近的文献在损伤机制和治疗结果方面增加了相当多的知识，但在诊断测试、植入物、技术和术后方案方面仍存在一些争议。新型缝合纽扣装置近年来的使用有所增加，在临床和尸体研究中显示出一定的前景。本文综述了下胫腓联合损伤，包括解剖学和生物力学、诊断、分类和治疗选择。
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本文引用的文献
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Foot and ankle injuries in sport: imaging correlation with arthroscopic and surgical findings.运动相关的足部和踝关节损伤：与关节镜和手术发现的影像学相关性。
Clin Sports Med. 2013 Jul;32(3):525-57. doi: 10.1016/j.csm.2013.03.007. Epub 2013 May 16.
2
A reliable method for intraoperative evaluation of syndesmotic reduction.一种可靠的用于术中评估下胫腓联合复位的方法。
J Orthop Trauma. 2013 Apr;27(4):196-200. doi: 10.1097/BOT.0b013e3182694766.
3
Common pitfalls in syndesmotic rupture management: a clinical audit.下胫腓联合损伤处理中的常见误区：临床审计。
Foot Ankle Int. 2013 Mar;34(3):345-50. doi: 10.1177/1071100712470914. Epub 2013 Jan 18.
4
Varus external rotation stress test for radiographic detection of deep deltoid ligament disruption with and without syndesmotic disruption: a cadaveric study.内外翻应力试验在放射学检测三角韧带深层断裂合并或不合并下胫腓联合分离中的应用：一项尸体研究。
Foot Ankle Int. 2013 Feb;34(2):251-60. doi: 10.1177/1071100712465848. Epub 2013 Jan 20.
5
Syndesmosis fixation using dual 3.5 mm and 4.5 mm screws with tricortical and quadricortical purchase: a biomechanical study.双 3.5 毫米和 4.5 毫米螺钉联合三皮质和四皮质固定距骨-跟骨联合：一项生物力学研究。
Foot Ankle Int. 2013 May;34(5):734-9. doi: 10.1177/1071100713478923. Epub 2013 Feb 12.
6
Epidemiology of syndesmosis injuries in intercollegiate football: incidence and risk factors from National Collegiate Athletic Association injury surveillance system data from 2004-2005 to 2008-2009.大学生足球比赛中踝关节联合损伤的流行病学：2004-2005 至 2008-2009 年美国大学生体育协会损伤监测系统数据的发生率和危险因素。
Clin J Sport Med. 2013 Jul;23(4):278-82. doi: 10.1097/JSM.0b013e31827ee829.
7
Fixation of ankle syndesmotic injuries: comparison of tightrope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction.踝关节联合损伤的固定：经皮克氏针固定与联合螺钉固定治疗踝关节联合损伤的准确性比较。
Am J Sports Med. 2012 Dec;40(12):2828-35. doi: 10.1177/0363546512461480. Epub 2012 Oct 10.
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Radiographic evaluation of the normal distal tibiofibular syndesmosis.正常下胫腓联合的 X 线评估。
Foot Ankle Int. 2012 Oct;33(10):870-6. doi: 10.3113/FAI.2012.0870.
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Complications of suture button ankle syndesmosis stabilization with modifications of surgical technique.缝线纽扣踝关节联合固定术改良手术技术相关并发症。
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