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膝关节和踝关节应力位的放射学检查(作者译)

[Radiologic examination of the knee and ankle in stress positions (author's transl)].

作者信息

Meunier P, Jestin Y, Kervarec D, Monnerie J L, Le Gall R, Bellet M

出版信息

J Radiol. 1982 Mar;63(3):213-7.

PMID:7108850
Abstract

The serious serious sequelae of sprains of the knee and ankle makes it imperative for the therapist to have an early and precise diagnosis. The authors propose a means of exploring these joints with the aid of a simple set up. This new technology allows the radiologist, secure from direct or indirect radiation, to carry out a standardized examination of the joint, usually unilaterally, and to make his interpretation more easily and more precisely. This method of x-raying in the stress position has its major indication in emergencies, but is equally useful in non emergencies, accomplishing a veritable over-all evaluation of the joint: varus, valgus, preternatural anterior and posterior sliding motion. The interpretation, based on direct reading of the films, differentiates the normal condition from physiological relaxation and mild and severe sprains. Naturally this method is to be used only after taking standard routine views to rule out any fractures.

摘要

膝关节和踝关节扭伤的严重后遗症使得治疗师必须尽早进行准确诊断。作者提出了一种借助简单设备对这些关节进行检查的方法。这项新技术使放射科医生免受直接或间接辐射,能够对关节进行标准化检查,通常为单侧检查,并且能更轻松、更准确地进行解读。这种在应力位进行X线检查的方法在紧急情况下有其主要适应证,但在非紧急情况下同样有用,可对关节进行全面评估:内翻、外翻、异常的前后滑动。基于对X线片的直接观察进行的解读,可区分正常情况、生理性松弛以及轻度和重度扭伤。当然,这种方法仅在拍摄标准常规片以排除任何骨折后使用。

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1
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J Radiol. 1982 Mar;63(3):213-7.
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