Meyer J M, Garcia J, Hoffmeyer P, Fritschy D
Department of Surgery, University of Geneva Cantonal Hospital, Switzerland.
Clin Orthop Relat Res. 1988 Jan(226):169-73.
Subtalar and ankle sprains are more frequently associated than previously suspected. In this study, 40 patients were analyzed, using subtalar arthrograms and ankle stress films. Thirty-two of the 40 patients had a rupture involving components of both subtalar and ankle capsuloligamentous structures. If ignored or improperly treated, these lesions may develop into a sinus tarsi syndrome or a chronically painful and unstable ankle. Negative stress films in the presence of a clinically serious ankle injury should arouse suspicion of an underlying subtalar sprain, as demonstrated in six patients with positive arthrograms.
距下关节和踝关节扭伤的关联比之前认为的更为常见。在本研究中，我们对40例患者进行了分析，采用了距下关节造影和踝关节应力位片。40例患者中有32例存在涉及距下关节和踝关节囊韧带结构的破裂。如果这些损伤被忽视或治疗不当，可能会发展为跗骨窦综合征或导致踝关节长期疼痛和不稳定。临床严重踝关节损伤时应力位片阴性，应怀疑存在潜在的距下关节扭伤，6例造影阳性患者的情况即证明了这一点。
