De Smet A A, Reckling F W, McNamara G R
J Can Assoc Radiol. 1982 Sep;33(3):142-7.
The initial ankle radiographs of 144 patients with ankle injuries were used to predict the total extent of ankle injury. Using the operative, clinical and radiographic findings, each injury was then classified according to the Lauge-Hansen system. Three patterns of lateral mallecolar fracture were unique to specific mechanisms of injury, with transverse fractures occurring in supination-adduction injuries, spiral fractures in supination lateral rotation injuries, and bending fractures in pronation abduction injuries. Vertical medial mallecolar fractures occurred only with supination-adduction injuries. Oblique and transverse medial malleolar fractures were not characteristic of a particular mechanism of injury. The complete extent of injury was accurately determined by the ankle radiographs in all but four patients. In these, the deltoid ligament tears could not be predicted by the radiographic findings.
对144例踝关节损伤患者的初始踝关节X线片进行分析，以预测踝关节损伤的整体程度。然后根据手术、临床及影像学检查结果，按照Lauge-Hansen系统对每例损伤进行分类。外踝骨折的三种类型分别对应特定的损伤机制，旋后-内收损伤时出现横行骨折，旋后-外旋损伤时出现螺旋骨折，旋前-外展损伤时出现弯曲骨折。垂直型内踝骨折仅见于旋后-内收损伤。斜行和横行内踝骨折并非特定损伤机制所特有。除4例患者外，踝关节X线片可准确判断所有患者的损伤全貌。在这4例患者中，影像学检查结果无法预测三角韧带撕裂情况。
