Funder V, Jørgensen J P, Andersen A, Andersen S B, Lindholmer E, Niedermann B, Vuust M
Acta Orthop Scand. 1982 Dec;53(6):997-1000. doi: 10.3109/17453678208992860.
During the 11-month period 1 October 1977 to 31 August 1978 a total of 44 patients with acute supination trauma of the ankle were examined. The clinical findings were compared with the results of arthrography. This revealed that direct and indirect tenderness of the anterior talofibular ligament and calcaneofibular ligament respectively, combined with a greater than or equal to 4 cm swelling anteriorly and over the lateral malleolus, indicated a ligament injury with great likelihood. If some of the diagnostic signs are absent, most emphasis should be laid on the swelling over the lateral malleolus and on the direct and indirect tenderness of the calcaneofibular ligament. The talar-tilt test and examination for the drawer sign were of limited diagnostic value.
在1977年10月1日至1978年8月31日的11个月期间，共检查了44例急性踝关节旋后损伤患者。将临床检查结果与关节造影结果进行了比较。结果显示，距腓前韧带和跟腓韧带分别出现直接和间接压痛，同时踝关节前方和外踝上方肿胀大于或等于4厘米，提示很可能存在韧带损伤。如果某些诊断体征不存在，则应特别重视外踝上方的肿胀以及跟腓韧带的直接和间接压痛。距骨倾斜试验和抽屉试验的诊断价值有限。
