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外侧踝关节韧带损伤的诊断。112名运动员距骨倾斜、磁共振成像与手术结果的比较。

Diagnosis of lateral ankle ligament injuries. Comparison between talar tilt, MRI and operative findings in 112 athletes.

作者信息

Gaebler C, Kukla C, Breitenseher M J, Nellas Z J, Mittlboeck M, Trattnig S, Vécsei V

机构信息

University of Vienna, Clinic for Trauma Surgery, Austria.

出版信息

Acta Orthop Scand. 1997 Jun;68(3):286-90. doi: 10.3109/17453679708996703.

DOI:10.3109/17453679708996703
PMID:9246995
Abstract

We evaluated the reliability of the radiographic talar tilt test by MRI examinations in 112 athletes with injuries to the lateral ligaments of the ankle. 25 athletes with a talar tilt > 15 degrees were treated operatively. Intraoperative findings and the talar tilt test were compared with MR imaging results. Our results suggest that MRI is a reliable method for diagnosing injuries of the lateral ankle ligaments. The talar tilt test cannot evaluate the specific pathology of lateral ankle ligaments, but it was reliable in indicating complete double-ligament ruptures (anterior talofibular and calcaneo-fibular ligaments), when talar tilt was 15 degrees or more than on the uninjured side.

摘要

我们通过MRI检查评估了112名踝关节外侧韧带损伤运动员的X线距骨倾斜试验的可靠性。25名距骨倾斜>15度的运动员接受了手术治疗。将术中发现和距骨倾斜试验结果与MR成像结果进行比较。我们的结果表明,MRI是诊断外侧踝关节韧带损伤的可靠方法。距骨倾斜试验无法评估外侧踝关节韧带的具体病理情况,但当距骨倾斜度比未受伤侧大15度或更多时,它在指示外侧双韧带(距腓前韧带和跟腓韧带)完全断裂方面是可靠的。

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