Hackenbruch W, Noesberger B, Debrunner H U
Arch Orthop Trauma Surg (1978). 1979 Apr 30;93(4):293-301. doi: 10.1007/BF00450229.
Ruptures of the lateral ligaments of the ankle joint occur very frequently in young persons and this subject is therefore one which deserves more attention. Once a fracture or avulsion of a ligamentary insertion has been excluded the nature and extent of the ligamentary lesion should be precisely assessed. The only objective criterion of rupture of a ligament is demonstrable instability of the joint. Since the anterior talo-fibular ligament is always found to be torn immediately following supination-inversion injury to the ligaments the talar drawer sign will be demonstratable both clinically and radiologically in such cases. This test causes almost no pain and can be carried out without anesthesia. The radiological visualization of ligamentary instability with the aid of a simple jig which stresses the ankle joint provides diagnostic information which is definitely superior to that obtained from an a-p roentegenogram of the stressed joint. This conclusion was reached by statistical analysis of 384 roentgenograms.
踝关节外侧韧带断裂在年轻人中非常常见，因此这个问题值得更多关注。一旦排除了韧带附着处的骨折或撕脱，就应精确评估韧带损伤的性质和程度。韧带断裂的唯一客观标准是关节明显不稳定。由于在韧带旋后-内翻损伤后总是发现距腓前韧带立即撕裂，因此在这种情况下，距骨抽屉试验在临床和放射学上都可显示。该试验几乎不会引起疼痛，无需麻醉即可进行。借助一种简单的夹具对踝关节施加压力来进行韧带不稳定的放射学显影，所提供的诊断信息肯定优于对受压关节进行前后位X线摄片所获得的信息。这一结论是通过对384张X线片的统计分析得出的。
