Harrasser N, Toepfer A
Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
ECOM Excellent Center of Medicine, München, Deutschland.
Orthopadie (Heidelb). 2024 Mar;53(3):223-233. doi: 10.1007/s00132-023-04462-7. Epub 2024 Feb 7.
Lateral ligament injuries are the most common injuries of the ankle joint and are usually treated with early weight bearing after a short period of immobilization. If the clinical presentation is suspicious, additional injuries to the deltoid ligament complex and the syndesmosis should be considered. The indications for additional diagnostics should be generously applied. Injuries to the deltoid ligament usually occur as part of a complex ankle injury and should also be addressed in the surgical treatment of accompanying injuries. Chronic instability in this area necessitates complex bony and soft tissue procedures. Syndesmotic injuries with insufficiency of the capsule-ligament apparatus are frequent in ankle fractures and are stabilized during fracture treatment. Isolated syndesmotic instability should also be surgically treated as chronic injuries are usually associated with poor clinical results and early osteoarthritis.
外侧韧带损伤是踝关节最常见的损伤，通常在短期固定后进行早期负重治疗。如果临床表现可疑，应考虑三角韧带复合体和下胫腓联合的其他损伤。应广泛应用额外诊断的指征。三角韧带损伤通常作为复杂踝关节损伤的一部分出现，在伴随损伤的手术治疗中也应予以处理。该区域的慢性不稳定需要进行复杂的骨和软组织手术。踝关节骨折中下胫腓联合损伤伴关节囊韧带结构功能不全很常见，在骨折治疗期间需进行固定。孤立的下胫腓联合不稳定也应进行手术治疗，因为慢性损伤通常会导致临床效果不佳和早期骨关节炎。
