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[儿童踝关节腓侧韧带损伤的诊断与治疗]

[Diagnosis and therapy of fibular ligament injuries in the ankle joint in children].

作者信息

Klotter H J, Müller H A, Pistor G, Schild H, Dähnert W

出版信息

Aktuelle Traumatol. 1983 Dec;13(6):217-21.

PMID:6142610
Abstract

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.

摘要

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。

相似文献

1
[Diagnosis and therapy of fibular ligament injuries in the ankle joint in children].[儿童踝关节腓侧韧带损伤的诊断与治疗]
Aktuelle Traumatol. 1983 Dec;13(6):217-21.
2
[Technic and diagnostic value of so-called stress x-rays in injuries of the fibular ligaments (author's transl)].[所谓应力X线检查在腓侧韧带损伤中的技术及诊断价值(作者译)]
Unfallchirurgie. 1982 Apr;8(2):99-104. doi: 10.1007/BF02585663.
3
[Epidemiologic data of rupture of the fibular ligament of the upper ankle joint].
Aktuelle Traumatol. 1991 Jun;21(3):118-20.
4
[Surgical therapy of fibular capsule-ligament rupture].
Sportverletz Sportschaden. 1989 Mar;3(1):6-13. doi: 10.1055/s-2007-993623.
5
[Articular ligament rupture of the ankle joint].[踝关节的关节韧带断裂]
Aktuelle Traumatol. 1983 Dec;13(6):222-5.
6
[Results following surgical treatment of ligament ruptures of the ankle joint in children].
Z Kinderchir. 1987 Aug;42(4):246-9. doi: 10.1055/s-2008-1075595.
7
Operative management of ligamentous injuries to the ankle.踝关节韧带损伤的手术治疗
Clin Sports Med. 1982 Mar;1(1):117-30.
8
[Clinical aspects and therapy of fibular ligament ruptures in childhood].[儿童腓骨韧带断裂的临床情况与治疗]
Orthopade. 1986 Nov;15(6):427-33.
9
Diagnostic value of stress radiography in lesions of the lateral ligaments of the ankle.
Acta Radiol. 1988 Nov-Dec;29(6):711-4.
10
Acute rupture of the lateral ligaments of the ankle joint, diagnosis and surgical treatment.踝关节外侧韧带急性断裂:诊断与外科治疗
Am Surg. 1979 Jul;45(7):465-70.

引用本文的文献

1
[Lateral ligament ruptures of the upper ankle joint in children].[儿童上踝关节外侧韧带断裂]
Unfallchirurgie. 1985 Feb;11(1):33-6. doi: 10.1007/BF02587925.
2
Chronic fibular ligament injury of the ankle in young children: a new method of ligament repair.幼儿踝关节慢性腓骨韧带损伤:一种新的韧带修复方法。
Arch Orthop Trauma Surg (1978). 1986;105(3):191-2. doi: 10.1007/BF00433940.