Meeder P J, Keller E, Weller S
Aktuelle Traumatol. 1981 Oct;11(5):156-60.
The frequent injuries of the lateral capsular ligaments of the ankle joint should be diagnosed and differentiated by an accurate case report and by physical and standardised radiological examination. Precise judgement and an adequate treatment are necessary to avoid recurrent subluxation of the ankle joint, a possible factor in the eventual development of post-traumatic arthrosis deformans. A primary suture should be preferred in all cases of fresh and severe instability, especially in young patients and in patients who are active in sports. After healing of the soft tissue and active functional treatment of the ankle joint, a plaster cast bearing the full weight of the patient is used for another four weeks. Follow-up examinations of 150 patients of a group of 552 patients, treated from 1971-1980, showed good results in 92.3% of the patients.
踝关节外侧关节囊韧带的频繁损伤应通过准确的病例报告以及体格检查和标准化放射学检查来进行诊断和鉴别。为避免踝关节反复半脱位（这可能是创伤后关节变形性关节炎最终发展的一个因素），需要进行精确判断并采取适当治疗。对于所有新鲜且严重不稳定的病例，尤其是年轻患者和从事体育运动的患者，应首选一期缝合。在软组织愈合以及对踝关节进行积极的功能治疗后，使用能承受患者全部体重的石膏固定四周。对1971年至1980年期间治疗的552例患者中的150例进行随访检查，结果显示92.3%的患者效果良好。
