Tittel K, Schauwecker F
Unfallchirurgie. 1982 Dec;8(6):386-91.
Some examples are given in order to describe the combined lesion of the ankle joint in the growing skeleton after a supination trauma. This lesion in the growing skeleton is similar to the basic type A of luxation fractures according to Weber[4]: lateral ligament rupture or lysis of the fibular zone of bone growth, respectively, combined with fracture of the medial malleolus and involvement of the tibial zone of bone growth. In some cases, anteroposterior radiographs are necessary in order to establish a complete diagnosis. The pictures should always be compared with those of the uninjured side. Skeletal dysplasia as well as joint instability can be avoided by a differentiated therapy depending on the initial findings.
为描述旋后创伤后发育中骨骼的踝关节复合损伤，现举一些例子。发育中骨骼的这种损伤类似于Weber[4]所述的基本A型脱位骨折：分别为外侧韧带断裂或腓骨生长区溶解，合并内踝骨折及胫骨生长区受累。在某些情况下，需要拍摄前后位X线片以确立完整诊断。这些影像应始终与未受伤侧的影像进行对比。根据初始检查结果进行个体化治疗，可避免骨骼发育异常以及关节不稳。
