Boszczyk Andrzej, Kwapisz Sławomir, Krümmel Martin, Grass Rene, Rammelt Stefan
Department of Traumatology and Orthopaedics, Centre of Postgraduate Medical Education, Prof. Adam Gruca Clinical Hospital, Konarskiego Str. 13, 05-400 Otwock, Poland.
Department of Traumatology and Orthopedic Surgery, Dritter Orden Clinical Hospital Munich-Nymphenburg, Menzinger Str. 44, 80638 Munich, Germany.
Foot Ankle Surg. 2019 Feb;25(1):51-58. doi: 10.1016/j.fas.2017.08.003. Epub 2017 Aug 16.
The study aims at comparing the bony anatomy of the syndesmosis in patients who sustained a high fibular fracture with syndesmosis disruption and that of the non-injured population. We hypothesised that there are certain anatomical features making the syndesmosis susceptible to injury.
The CT examinations of 75 patients who sustained a high fibular fracture with syndesmosis disruption and control group of 75 patients with unrelated foot problems were compared. The depth, fibular engagement and rotational orientation of the tibial incisura were analyzed.
With the median values of the control group as cutoff there were 71% shallow, 71% disengaged and 77% retroverted syndesmoses in the injury group. The differences between the groups were statistically significant for every measure (P<.002 to P>.0001).
Patients with a shallow, disengaged and retroverted bony configuration of the syndesmosis are overrepresented among patients with syndesmosis disruption.
本研究旨在比较发生高位腓骨骨折并伴有下胫腓联合损伤的患者与未受伤人群的下胫腓联合的骨骼解剖结构。我们假设存在某些解剖学特征使下胫腓联合易于受伤。
比较了75例发生高位腓骨骨折并伴有下胫腓联合损伤患者的CT检查结果与75例患有无关足部问题患者的对照组的CT检查结果。分析了胫腓切迹的深度、腓骨嵌入情况和旋转方向。
以对照组的中位数为临界值，损伤组中有71%的下胫腓联合较浅，71%未嵌入，77%向后翻转。每组之间的各项测量差异均具有统计学意义（P<0.002至P>0.0001）。
下胫腓联合骨骼结构较浅、未嵌入且向后翻转的患者在下胫腓联合损伤患者中占比过高。
