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[一种在侧位投照中测量踝关节前侧关节移位的新方法]

[A new procedure for measuring displacement of the anterior ankle joint in the lateral projection].

作者信息

Biegler M, Düber C, Wenda K

出版信息

Unfallchirurgie. 1986 Oct;12(5):271-5. doi: 10.1007/BF02586090.

Abstract

Different methods are recommended for exploration of stress-radiographs of the ankle joint in lateral projection. After considering the geometric-mathematical propositions a new schedule is shown, which combines simple handling with tolerable error level and regards individual bone size. An index is derived from measurements of the tibia and the talus according to certain conditions. The limits for normal, borderline and pathological indices were statistically determined by measurement of 50 lateral stress-radiographs of uninjured ankle sprains. In comparison with the common measuring of an posterior tibio-talar distance better results were found with a higher score of discrimination for the new method. Additionally the new procedure allows exploration of radiographs which do not fulfill the demands to an exact lateral projection of the ankle sprain.

摘要

对于踝关节侧位应力X线片的检查,推荐了不同的方法。在考虑几何数学命题后,展示了一种新的方案,该方案将操作简便与可接受的误差水平相结合,并考虑了个体骨骼大小。根据特定条件从胫骨和距骨的测量中得出一个指数。通过对50张未受伤踝关节扭伤的侧位应力X线片进行测量,统计学确定了正常、临界和病理指数的界限。与常用的测量胫距后距离相比,新方法具有更高的辨别分数,结果更好。此外,新方法还允许对不符合踝关节扭伤精确侧位投照要求的X线片进行检查。

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