Klotter H J, Müller H A, Pistor G, Schild H, Dähnert W
Aktuelle Traumatol. 1983 Dec;13(6):217-21.
Turn fibular ligaments of the ankle go often undetected when not accompanied by osseous lesions. The significance of injuries to the major supporting ligaments of the ankle is underestimated in children. Next to the clinical findings stress radiographs of the ankle joint in two projections are mandatory. Measurements of anterior and lateral displacement under stress and displacement index need to be compared with the healthy ankle. Diagnosis of a fibular ligament rupture is based on clinical findings and on differences between the measurement results (injured compared to healthy) by way of three different techniques. Rupture of a fibular ligament is an absolute indication for surgery--even in children.
当没有骨质损伤时,踝关节的腓侧韧带损伤常常难以被发现。儿童踝关节主要支撑韧带损伤的重要性被低估了。除了临床检查结果外,踝关节在两个投照位的应力位X线片是必需的。需要将应力下的前后移位测量值和移位指数与健侧踝关节进行比较。腓侧韧带断裂的诊断基于临床检查结果以及通过三种不同技术得出的测量结果(伤侧与健侧相比)之间的差异。腓侧韧带断裂是手术的绝对指征——即使是在儿童中。