Ehrensperger J
Z Kinderchir. 1985 Aug;40(4):203-8. doi: 10.1055/s-2008-1059774.
Arthrography of the ankle is an optimal diagnostic tool in children and adolescents facilitating differential diagnosis between a simple ankle sprain and rupture of the fibular ligaments. It can moreover help to differentiate between rupture of a single and of two ligaments. 35 young patients with surgically confirmed ligamentous rupture were evaluated according to conventional radiographic criteria, and part of them by arthrography. The technique of the latter and the quite frequent normal variants in arthrograms of the ankle in childhood are described. The comparison of the pathologic anatomy disclosed by surgery and the arthrogram reveals a very good correlation. Its main value resides in giving fair information in clinically and radiographically controversial cases.
踝关节造影术是儿童和青少年的一种理想诊断工具，有助于鉴别单纯踝关节扭伤和腓骨韧带断裂。此外，它还能帮助区分单条韧带断裂和两条韧带断裂。根据传统影像学标准对35例经手术证实韧带断裂的年轻患者进行了评估，部分患者还进行了关节造影。文中描述了关节造影术的技术以及儿童踝关节造影中相当常见的正常变异。手术揭示的病理解剖与关节造影的比较显示出非常好的相关性。其主要价值在于为临床和影像学上有争议的病例提供合理信息。
