胫腓下联合：解剖、生物力学、损伤与治疗
Distal Tibiofibular Syndesmosis: Anatomy, Biomechanics, Injury and Management.
作者信息
Yuen Chi Pan, Lui Tun Hing
机构信息
Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong, China.
出版信息
Open Orthop J. 2017 Jul 31;11:670-677. doi: 10.2174/1874325001711010670. eCollection 2017.
Abstract
A stable and precise articulation of the distal tibiofibular syndesmosis is essential for normal motion of the ankle joint. Injury to the syndesmosis occurs through rupture or bony avulsion of the syndesmotic ligament complex. External rotation of the talus has been identified as the major mechanism of syndesmotic injury. None of the syndesmotic stress tests was sensitive or specific; therefore the diagnosis of syndesmotic injury should not be made based on the medical history and physical examination alone. With the improvement in ankle arthroscopic technique, it can be used as a diagnostic and therapeutic tool in the management of distal tibiofibular syndesmosis injury.
摘要
胫腓下联合的稳定和精确连接对于踝关节的正常运动至关重要。胫腓下联合损伤通过联合韧带复合体的断裂或骨撕脱发生。距骨的外旋已被确定为胫腓下联合损伤的主要机制。没有一种胫腓下联合应力试验具有敏感性或特异性；因此，胫腓下联合损伤的诊断不应仅基于病史和体格检查。随着踝关节镜技术的改进，它可作为诊断和治疗工具用于胫腓下联合损伤的处理。
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