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[在前后位辐射路径的受限成像中对踝关节外侧韧带复合体的应力]

[Stress to the lateral ankle joint ligament complex in confined imaging with an a.-p. radiation path].

作者信息

Wruhs O, Orthner E, Resch W

出版信息

Unfallchirurgie. 1985 Dec;11(6):323-8. doi: 10.1007/BF02587984.

DOI:10.1007/BF02587984
PMID:4090089
Abstract

Physical definition and laws of rotating systems will be stated. The application for supination in ankle joint shows, that lever action increases the force applied up to four times in case of stress X-rays in the a.-p. view. As quoted in literature, the test power of up to 25 kp means a loading of the lateral collaterals up to 100 kp. An additional iatrogenic rupture of already traumatically partially sprained structures seems possible. The critical judgement of five different methods producing stress X-rays of the ankle joint shows the weak points of this test system. Beck's method seems sufficient for precise statements and judgement of the stress X-ray tests without endangering ligaments so far unsprained.

摘要

将阐述旋转系统的物理定义和定律。踝关节旋后应用表明,在前后位应力X线检查时,杠杆作用可使施加的力增加至四倍。如文献所述,高达25kp的测试力意味着外侧副韧带承受高达100kp的负荷。已经因外伤而部分扭伤的结构可能会出现额外的医源性断裂。对产生踝关节应力X线的五种不同方法的批判性判断显示了该测试系统的薄弱点。贝克方法似乎足以对应力X线检查进行精确的陈述和判断,而不会危及尚未扭伤的韧带。

相似文献

1
[Stress to the lateral ankle joint ligament complex in confined imaging with an a.-p. radiation path].[在前后位辐射路径的受限成像中对踝关节外侧韧带复合体的应力]
Unfallchirurgie. 1985 Dec;11(6):323-8. doi: 10.1007/BF02587984.
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本文引用的文献

1
SPRAINED ANKLES. II. ARTHROGRAPHIC DIAGNOSIS OF RECENT LIGAMENT RUPTURES.
Acta Chir Scand. 1965 May;129:485-99.
2
[Evaluation of stressed roentgenograms of the ankle joint (author's transl)].踝关节应力X线片的评估(作者译)
Unfallheilkunde. 1980 Sep;83(9):457-61.
3
[Experimental studies on stress x-rays of the ankle joint].[踝关节应力X线的实验研究]
Unfallheilkunde. 1984 Jan;87(1):30-4.
4
Sprained ankles. 3. Clinical observations in recent ligament ruptures.脚踝扭伤。3. 近期韧带断裂的临床观察。
Acta Chir Scand. 1965 Dec;130(6):560-9.
5
[Diagnosis of the lesions of the lateral ligaments of the upper ankle-joint (author's transl)].上踝关节外侧韧带损伤的诊断(作者译)
Z Orthop Ihre Grenzgeb. 1973 Oct;111(5):724-31.
6
[Diagnosis of recent fibular ligament rupture].[近期腓骨韧带断裂的诊断]
Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed. 1970 Apr;73(4):178-84.
7
[Chronic fibular instability of the ankle-joint -- x-ray diagnostic and ligamentous graft (author's transl)].踝关节慢性腓骨不稳定——X线诊断与韧带移植(作者译)
Arch Orthop Unfallchir. 1977 Jun 30;88(3):313-20. doi: 10.1007/BF00416620.
8
[Therapy and prognosis of fresh external ankle ligament lesions (author's transl)].新鲜外踝韧带损伤的治疗与预后(作者译)
Unfallheilkunde. 1976 Mar;79(3):101-4.
9
[Experimental studies on tensile strength of the ligamental apparatus of the human ankle joint].[人体踝关节韧带装置拉伸强度的实验研究]
Hefte Unfallheilkd. 1978(131):37-42.
10
"Normal" talar tilt angle.“正常”距骨倾斜角。
Clin Orthop Relat Res. 1979 May(140):37-41.