Hippe P
Z Orthop Ihre Grenzgeb. 1984 Mar-Apr;122(2):201-7. doi: 10.1055/s-2008-1044608.
The ankle joints of 109 extremities with fibula reductions wer examined. The authors' findings led them to conclude that the shape of the ankle joint must be regarded as the result of an adaptation to altered functions. Ball-shaped ankle joints are frequently found in cases of hypoplasia of the fibula; partial and subtotal aplasias of the fibula are more likely to be associated with a valgus deformity of the ankle joint (known as Volkmann's ankle joint deformity) or, if more severe, with kyphosis of the tibia. If there is no laterodorsal restraint by coarse fibrous strands in cases of fibular aplasia, it is also possible that ball-shaped ankle joints will develop.
对109个腓骨复位肢体的踝关节进行了检查。作者的研究结果使他们得出结论,踝关节的形状必须被视为对功能改变适应的结果。球形踝关节在腓骨发育不全的病例中经常出现;腓骨部分和完全发育不全更有可能与踝关节外翻畸形(称为 Volkman 踝关节畸形)相关,或者,如果更严重,则与胫骨后凸相关。如果在腓骨发育不全的情况下没有粗纤维束的背外侧约束,也有可能形成球形踝关节。