Dittmer H, Huf R
Städtisches Krankenhaus Frankfurt/M.-Höchst, Unfallchirurgische, Abteilung.
Aktuelle Traumatol. 1987 Aug;17(4):179-81.
Rupture of the distal tibiofibular syndesmosis without fracture of the fibula may be a rare event, but in the presence of certain clinical signs, it should be investigated (pain and haematoma above the syndesmosis, pain at eversion and dorsal flexion, history of dislocation of the joint). The diagnostic procedure of choice is the arthrography of the ankle-joint. A so-called isolated posterior tibial fragment may lead to the diagnosis of a complex ligamentous injury.
下胫腓联合远端韧带断裂而腓骨无骨折可能是一种罕见情况,但在出现某些临床体征时(下胫腓联合上方疼痛和血肿、外翻及背屈时疼痛、关节脱位史),应进行检查。首选的诊断方法是踝关节造影。所谓孤立的胫骨后髁骨折块可能提示存在复杂的韧带损伤。