足踝部损伤的诊断难题

Diagnostic dilemmas in foot and ankle injuries.

作者信息

Keene J S, Lange R H

出版信息

JAMA. 1986 Jul 11;256(2):247-51.

Abstract

Differential diagnosis of foot and ankle injuries should include stress fractures of the great toe sesamoids, the shaft of the fifth metatarsal, and the tarsal navicular bone; transchondral talar-dome fractures; fractures of the os trigonum; and dislocating peroneal tendons. Diagnosis of these injuries is challenging because the initial roentgenograms often are normal, and special clinical tests and ancillary studies are required.

摘要

足踝部损伤的鉴别诊断应包括拇籽骨、第五跖骨干和舟状骨的应力性骨折；距骨穹窿部软骨骨折；三角骨骨折；以及腓骨肌腱脱位。这些损伤的诊断具有挑战性，因为最初的X线片通常是正常的，需要特殊的临床检查和辅助检查。