Department of Radiology, The Third Hospital of Hebei Medical University, Shijiazhuang, China.
Department of Radiology, Gucheng County Hospital of Hebei Province, Gucheng, Hebei, China.
Sci Rep. 2020 May 6;10(1):7655. doi: 10.1038/s41598-020-64479-2.
This study was to analyze ankle fractures for determining the epidemiology, types, distribution, possible mechanisms and diagnosis precision. Between January 2013 and December 2017, all Chinese patients older than 16 years of age with ankle fractures excluding old ankle fractures and pathological fractures in a tertiary care hospital were analyzed by using the Danis-Weber and Lauge-Hansen classification systems. Among 3952 patients with ankle fractures, 1225 fractures (31%) were Danis-Weber type A, 1640 (42%) were type B, 751 (19%) were type C, and 336 (9%) were perpendicular compression fracture. There were 1949 fractures on the left side and 2003 on the right with no significant difference (P > 0.05). Male patients between 16 and 50 years of age and women over 50 years had a higher incidence of ankle fractures accounting for 38.4% (1517/3952) and 22.2% (800/3952), respectively. Posterior malleolar fractures, fibular fractures above the inferior tibiofibular joint and Tillaux fractures were easily missed in the diagnosis, with 38 fractures (0.96%) being missed in the diagnosis. In conclusion, young and middle-aged men and older women have a higher incidence of ankle fractures, and use of the Lauge-Hansen and Danis-Weber classification systems can better help assessing the varied and complex ankle fractures, predicting the injuries, increasing diagnostic precision and decreasing misdiagnosis rate.
本研究旨在分析踝关节骨折，以确定其流行病学、类型、分布、可能的机制和诊断精度。在一家三级医疗机构，我们使用 Danis-Weber 和 Lauge-Hansen 分类系统分析了 2013 年 1 月至 2017 年 12 月间所有年龄大于 16 岁的、除外陈旧性踝关节骨折和病理性骨折的中国踝关节骨折患者。在 3952 例踝关节骨折患者中，Danis-Weber 类型 A 骨折 1225 例（31%），类型 B 骨折 1640 例（42%），类型 C 骨折 751 例（19%），垂直压缩骨折 336 例（9%）。左侧骨折 1949 例，右侧骨折 2003 例，差异无统计学意义（P>0.05）。16-50 岁男性和 50 岁以上女性踝关节骨折发生率较高，分别占 38.4%（1517/3952）和 22.2%（800/3952）。后踝骨折、下胫腓联合上方腓骨骨折和Tillaux 骨折在诊断中容易漏诊，漏诊 38 例（0.96%）。总之，中青年男性和老年女性踝关节骨折发生率较高，使用 Lauge-Hansen 和 Danis-Weber 分类系统有助于评估复杂多变的踝关节骨折，预测损伤，提高诊断精度，降低漏诊率。
