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踝关节旋后损伤后伴发前距腓韧带损伤的韦伯B型外踝骨折。

Weber B Fracture of the Lateral Malleolus with Concomitant Anterior Talofibular Ligament Injury following an Ankle Supination Injury.

作者信息

Faqi Mohammed Khalid, AlJawder Abdulla, Alkhalifa Fahad, Almajed Ali H

机构信息

Department of Orthopedic Surgery, Bahrain Defence Force Hospital-Royal Medical Services, Riffa, Bahrain.

出版信息

Case Rep Orthop. 2016;2016:8035029. doi: 10.1155/2016/8035029. Epub 2016 May 29.

DOI:10.1155/2016/8035029
PMID:27313928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4903139/
Abstract

The Lauge-Hansen (LH) classification attempts to predict patterns of ankle injuries based upon the preceding mechanism of injury. Although it is widely used in clinical practice, it has been criticized mainly due to numerous reports of cases conflicting the prediction system. Here, we report a case of a 32-year-old male who sustained a Weber B fracture of the lateral malleolus following a supination ankle injury, which was treated conservatively, following which the patient presented with ankle instability and was found to have concurrent anterior talofibular ligament tear. Critical review of the LH classification along with its shortcomings is discussed.

摘要

Lauge-Hansen（LH）分类法试图根据先前的损伤机制来预测踝关节损伤的模式。尽管它在临床实践中被广泛应用，但主要因其有大量与该预测系统相矛盾的病例报告而受到批评。在此，我们报告一例32岁男性患者，其在旋后型踝关节损伤后发生了外踝Weber B型骨折，最初采用保守治疗，之后患者出现踝关节不稳，经检查发现同时存在距腓前韧带撕裂。本文讨论了LH分类法及其不足之处的批判性回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/e099a47e4e53/CRIOR2016-8035029.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/17c5c0a33af7/CRIOR2016-8035029.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/bf2215a8c437/CRIOR2016-8035029.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/e7b5ed850a0e/CRIOR2016-8035029.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/577a22fc3bf1/CRIOR2016-8035029.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/e099a47e4e53/CRIOR2016-8035029.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/17c5c0a33af7/CRIOR2016-8035029.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/bf2215a8c437/CRIOR2016-8035029.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/e7b5ed850a0e/CRIOR2016-8035029.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/577a22fc3bf1/CRIOR2016-8035029.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c6a/4903139/e099a47e4e53/CRIOR2016-8035029.005.jpg

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本文引用的文献

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J Orthop Trauma. 2015 Dec;29(12):574-8. doi: 10.1097/BOT.0000000000000393.
2
Evaluating the Reliability and Reproducibility of the AO and Lauge-Hansen Classification Systems for Ankle Injuries.评估AO和Lauge-Hansen踝关节损伤分类系统的可靠性和可重复性。
Orthopedics. 2015 Jul 1;38(7):e626-30. doi: 10.3928/01477447-20150701-62.
3
A cadaver study revisiting the original methodology of Lauge-Hansen and a commentary on modern usage.
一项重新审视Lauge-Hansen原始方法的尸体研究及对现代应用的评论。
J Bone Joint Surg Am. 2015 Apr 1;97(7):604-9. doi: 10.2106/JBJS.N.00970.
4
Treatment algorithm for chronic lateral ankle instability.慢性外侧踝关节不稳的治疗方案
Muscles Ligaments Tendons J. 2015 Feb 5;4(4):455-60. eCollection 2014 Oct-Dec.
5
Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy.慢性踝关节不稳共识：病因、评估、手术指征和关节镜的作用。
Orthop Traumatol Surg Res. 2013 Dec;99(8 Suppl):S411-9. doi: 10.1016/j.otsr.2013.10.009. Epub 2013 Nov 20.
6
Correlation of AO and Lauge-Hansen classification systems for ankle fractures to the mechanism of injury.AO 分类系统与 Lauge-Hansen 分类系统对踝关节骨折致伤机制的相关性分析。
Foot Ankle Int. 2013 Nov;34(11):1516-20. doi: 10.1177/1071100713491730. Epub 2013 May 31.
7
Treatment of acute ankle ligament injuries: a systematic review.急性踝关节韧带损伤的治疗：系统评价。
Arch Orthop Trauma Surg. 2013 Aug;133(8):1129-41. doi: 10.1007/s00402-013-1742-5. Epub 2013 May 28.
8
Correlation between radiological assessment of acute ankle fractures and syndesmotic injury on MRI.急性踝关节骨折的影像学评估与 MRI 下下胫腓联合损伤的相关性。
Skeletal Radiol. 2012 Jul;41(7):787-801. doi: 10.1007/s00256-011-1284-2. Epub 2011 Oct 20.
9
Determinants of outcome in operatively and non-operatively treated Weber-B ankle fractures.手术和非手术治疗 Weber-B 踝关节骨折的结局影响因素。
Arch Orthop Trauma Surg. 2012 Feb;132(2):257-63. doi: 10.1007/s00402-011-1397-z. Epub 2011 Sep 30.
10
A novel methodology for the study of injury mechanism: ankle fracture analysis using injury videos posted on YouTube.com.一种研究损伤机制的新方法：使用 YouTube.com 上发布的损伤视频分析踝关节骨折。
J Orthop Trauma. 2010 Aug;24(8):477-82. doi: 10.1097/BOT.0b013e3181c99264.