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2
Anatomy of the ankle ligaments: a pictorial essay.踝关节韧带解剖：图文综述
Knee Surg Sports Traumatol Arthrosc. 2016 Apr;24(4):944-56. doi: 10.1007/s00167-016-4059-4. Epub 2016 Apr 1.
3
Correlation Between the Lauge-Hansen Classification and Ligament Injuries in Ankle Fractures.踝关节骨折中Lauge-Hansen分类与韧带损伤的相关性
J Orthop Trauma. 2015 Dec;29(12):574-8. doi: 10.1097/BOT.0000000000000393.
4
The role of the medial ligaments in lateral stabilization of the ankle joint: an in vitro study.内侧韧带在踝关节外侧稳定中的作用：一项体外研究。
Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):1900-6. doi: 10.1007/s00167-013-2708-4.
5
Repair of the acute deltoid ligament complex rupture associated with ankle fractures: a multicenter clinical study.与踝关节骨折相关的急性三角韧带复合体断裂的修复：一项多中心临床研究。
J Foot Ankle Surg. 2015 Mar-Apr;54(2):198-202. doi: 10.1053/j.jfas.2014.12.013. Epub 2015 Jan 21.
6
Stability assessment of the ankle mortise in supination-external rotation-type ankle fractures: lack of additional diagnostic value of MRI.旋后-外旋型踝关节骨折中踝关节榫眼的稳定性评估：MRI缺乏额外诊断价值
J Bone Joint Surg Am. 2014 Nov 19;96(22):1855-62. doi: 10.2106/JBJS.M.01533.
7
Anatomic study of the deltoid ligament of the ankle.踝关节三角韧带的解剖学研究。
Foot Ankle Int. 2014 Sep;35(9):916-21. doi: 10.1177/1071100714535766. Epub 2014 May 21.
8
The deltoid ligament: an in-depth review of anatomy, function, and treatment strategies.三角韧带：解剖、功能及治疗策略的深入综述。
Knee Surg Sports Traumatol Arthrosc. 2013 Jun;21(6):1316-27. doi: 10.1007/s00167-012-2159-3. Epub 2012 Aug 10.
9
The diagnosis and treatment of deltoid ligament lesions in supination-external rotation ankle fractures: a review.旋后-外旋型踝关节骨折三角韧带损伤的诊断与治疗：综述
Strategies Trauma Limb Reconstr. 2012 Aug;7(2):73-85. doi: 10.1007/s11751-012-0140-9. Epub 2012 Jul 6.
10
Ultrasonography as a diagnostic tool in assessing deltoid ligament injury in supination external rotation fractures of the ankle.超声检查作为评估踝关节旋后外旋骨折三角韧带损伤的诊断工具。
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[踝关节骨折合并急性三角韧带损伤的诊疗进展]

[Progress of diagnosis and treatment of ankle fractures combined with acute deltoid ligament injury].

作者信息

Zhang Yun, Yang Yunfeng

机构信息

Department of Orthopedics, Shanghai Tongji Hospital, Shanghai, 200065, P.R.China.

Department of Orthopedics, Shanghai Tongji Hospital, Shanghai, 200065,

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 May 15;31(5):624-628. doi: 10.7507/1002-1892.201701053.

DOI:10.7507/1002-1892.201701053
PMID:29798555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8498251/
Abstract

OBJECTIVE

To review the diagnosis and treatment of ankle fractures combined with acute deltoid ligament injury.

METHODS

Recent literature concerning the diagnosis and treatment of ankle fractures combined with acute deltoid ligament injury was reviewed.

RESULTS

Misdiagnosis is common for ankle fractures combined with acute deltoid ligament injury. A diagnosis is given based on patients' complaints, symptoms, and imaging examination, even surgical exploration is necessary. Whether to repair the deltoid ligament remains controversial.

CONCLUSION

Deltoid ligament is an important structure to stabilize the medial ankle joint. However, treatment of different kinds of ankle fractures combined with acute deltoid ligament injury should be standardized; whether or not repair deltoid ligament is determined by the intraoperative ankle stability.

摘要

目的

回顾踝关节骨折合并急性三角韧带损伤的诊断与治疗。

方法

回顾近期有关踝关节骨折合并急性三角韧带损伤的诊断与治疗的文献。

结果

踝关节骨折合并急性三角韧带损伤误诊常见。根据患者主诉、症状及影像学检查进行诊断，甚至有必要进行手术探查。是否修复三角韧带仍存在争议。

结论

三角韧带是稳定踝关节内侧的重要结构。然而，对于不同类型的踝关节骨折合并急性三角韧带损伤的治疗应规范化；是否修复三角韧带取决于术中踝关节的稳定性。