Hendrich V, Kuner E H, Weiling J
Unfallchirurgie. 1982 Feb;8(1):65-8. doi: 10.1007/BF02585793.
105 patients with acute injuries of the fibular collateral ligament were treated surgically. Diagnoses and following treatment were based on X-rays in stressed positions (talar tilt and anterior drawer sign) compared with the other side. More than fifty percent were athletic injuries. After surgical treatment patients wore a below-knee plaster cast for 6 weeks. 90 patients were seen after an average interval of 24 months; another 7 were assessed on the basis of patient's judgement. In 7 cases the X-ray control showed some instability (talar tilt greater than 5 degree and anterior drawer sign greater than 2mm). At physical examination we found in some cases minor differences in mobility, swelling and pain. 14 patients showed hypesthesia on the lateral side of the dorsum of the foot. No patient had to give up his sport activities due to the ligamentous injury, 89 (97 were asked) were content with the result.
105例腓侧副韧带急性损伤患者接受了手术治疗。诊断及后续治疗基于应力位X线片(距骨倾斜和前抽屉试验)并与对侧进行比较。超过50%为运动损伤。手术治疗后,患者佩戴膝下石膏固定6周。平均间隔24个月后对90例患者进行了随访;另外7例根据患者的判断进行了评估。7例X线检查显示存在一定程度的不稳定(距骨倾斜大于5度,前抽屉试验大于2mm)。体格检查发现,部分病例在活动度、肿胀和疼痛方面存在轻微差异。14例患者足背外侧感觉减退。没有患者因韧带损伤而不得不放弃体育活动,89例(共询问了97例)对治疗结果满意。