Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
SWISS ORTHO CENTER, Swiss Medical Network, Schmerzklinik Basel, University of Basel, Hirschgässlein 15, Basel 4010, Switzerland.
Foot Ankle Clin. 2023 Jun;28(2):355-367. doi: 10.1016/j.fcl.2023.01.009. Epub 2023 Mar 27.
Injuries of the medial ankle ligament complex (MALC; deltoid and spring ligament) are more common following ankle sprains than expected, especially in eversion-external rotation mechanisms. Often these injuries are associated with concomitant osteochondral lesions, syndesmotic lesions, or fractures of the ankle joint. The clinical assessment of the medial ankle instability together with a conventional radiological and MR imaging is the basis for the definition of the diagnosis and therefore the optimal treatment. This review aims to provide an overview as well as a basis to successfully manage MALC sprains.
内侧踝关节韧带复合体（MALC；三角韧带和弹簧韧带）损伤比预期更常见于踝关节扭伤后，尤其是在外翻-外旋机制中。这些损伤通常与伴随的软骨骨损伤、下胫腓联合损伤或踝关节骨折有关。内侧踝关节不稳定的临床评估以及常规放射学和磁共振成像（MRI）是确定诊断的基础，也是确定最佳治疗方案的基础。本文旨在提供一个概述，并为成功治疗 MALC 扭伤提供一个基础。
