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[腓骨头脱位——诊断与治疗问题]

[Dislocation of the head of the fibula--diagnostic and therapeutic problems].

作者信息

Dinkelaker F, Tiedtke R, Rahmanzadeh R

出版信息

Aktuelle Traumatol. 1985 Dec;15(6):264-6.

PMID:2868616
Abstract

Luxation of the head of the fibula in the proximal tibiofibular joint is rare and is often overlooked. Pointers in this direction should be a swelling above the head of the fibula that is sensitive to pressure, an inexplicable pattern of signs involving the fibula, as well as an undefined insecurity of gait associated with the absence of other injuries in the genicular area. Diagnosis is best confirmed in the hospital by means of luxation or repositioning manoeuvres at the joint. The experienced physician can draw further conclusions from x-ray films of the forced extreme joint position. Therapy depends exclusively on the severity of complaints of the patient and must be determined individually for each patient.

摘要

腓骨头在胫腓近端关节处的脱位很少见,且常常被忽视。指向这一情况的迹象包括腓骨头上方有压痛性肿胀、涉及腓骨的不明原因体征模式,以及在膝关节区域无其他损伤情况下步态莫名不稳。最好在医院通过关节脱位或复位手法来确诊。经验丰富的医生可从关节极度位置的X线片中得出进一步结论。治疗完全取决于患者的主诉严重程度,必须针对每个患者单独确定。

相似文献

8
Instability of the proximal tibio-fibular joint.胫腓近侧关节不稳。
Acta Orthop Scand. 1978 Dec;49(6):621-6. doi: 10.3109/17453677808993250.
10
Dislocation of the proximal fibula.腓骨近端脱位。
Radiology. 1972 Dec;105(3):547-9. doi: 10.1148/105.3.547.

引用本文的文献

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Traumatic proximal tibiofibular joint dislocation treated by open reduction and temporary fixation: a case report.
Knee Surg Sports Traumatol Arthrosc. 2007 Feb;15(2):199-201. doi: 10.1007/s00167-006-0147-1. Epub 2006 Jul 21.

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