Mittlmeier Thomas, Rammelt Stefan
Department of Trauma, Hand and Reconstructive Surgery, Rostock University Medical Center, Schillingallee 35, Rostock D-18057, Germany.
University Center for Orthopedics and Traumatology, University Hospital "Carl Gustav Carus", TU Dresden, Fetscherstr. 74, Dresden D-01307, Germany.
Foot Ankle Clin. 2018 Sep;23(3):397-413. doi: 10.1016/j.fcl.2018.04.005.
Subtalar joint stability is ensured by the osseous geometry of the talocalcaneal joint and the complex array of the ligaments at the medial and lateral aspect of the ankle joint, the sinus and canalis tarsi, and the talocalcaneonavicular joint, respectively. There is still a substantial lack of knowledge about the interaction of the ankle and subtalar joint complex. Subtalar joint instability appears to be more frequent than is generally assumed. The diagnosis of chronic subtalar joint instability makes the application of a comprehensive algorithm necessary. There is ongoing debate about the preferable techniques for restoration of subtalar joint stability.
距下关节的稳定性分别由距跟关节的骨性结构以及踝关节内、外侧、跗骨窦和跗骨管、距跟舟关节处复杂的韧带排列来确保。目前对于踝关节和距下关节复合体之间的相互作用仍知之甚少。距下关节不稳定的发生率似乎比一般认为的更高。慢性距下关节不稳定的诊断需要应用综合的诊断方法。关于恢复距下关节稳定性的最佳技术仍存在争议。