Montague A P, McQuillan R F
Injury. 1985 Sep;16(8):545-6. doi: 10.1016/0020-1383(85)90082-8.
The clinical features of 311 patients with apparently sprained ankles were analysed and compared with radiographs. Measurable swelling was found to be a constant feature of ankle fractures and bruising was very common. The incidence of fractures increased with age. No other physical sign nor the history was useful in predicting fracture in this context. It is concluded that advanced age, bruising and particularly swelling are strong indications for ankle radiography and the absence of swelling is a strong contraindication.
对311例明显踝关节扭伤患者的临床特征进行了分析，并与X线片结果进行了比较。发现可测量的肿胀是踝关节骨折的一个持续特征，瘀伤也非常常见。骨折发生率随年龄增长而增加。在这种情况下，没有其他体征或病史对预测骨折有帮助。结论是，高龄、瘀伤，尤其是肿胀是踝关节X线检查的强烈指征，而无肿胀是强烈的反指征。
