Zocholl G, Wenda K, Jungbluth A
Institut für Klinische Strahlenkunde, Universität Mainz.
Rontgenblatter. 1988 Apr;41(4):167-71.
The prognosis and therapy of the fracture of the calcaneum largely depend on an involvement of the talo-calcaneonavicular joint. Incongruities and grated fractures in the region of the posterior joint facet are prognostically unfavourable but can be tackled by surgery. Standard X-ray films of the calcaneonavicular joint and of the tarsus do not offer sufficiently conclusive criteria. Oblique X-ray films with 60 degree internal and external rotation visualise the talo-calcaneonavicular joint almost free from overshadowing. The diagnostic value and technique of the standard and oblique X-ray films, as well as the topography of the joint facets under different projections, are demonstrated in this article by means of X-ray films of preparations and by case reports.
跟骨骨折的预后和治疗很大程度上取决于距跟舟关节是否受累。后关节面区域的不平整和粉碎性骨折在预后方面不利，但可通过手术处理。跟舟关节和跗骨的标准X线片提供的诊断标准不够确凿。内旋和外旋60度的斜位X线片能使距跟舟关节几乎不受遮挡地显影。本文通过标本的X线片和病例报告展示了标准X线片和斜位X线片的诊断价值及技术，以及不同投照下关节面的解剖位置。
