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[踝关节慢性外源性不稳定。动态X线摄影、X线计算机断层扫描及X线计算机断层扫描关节造影的作用]

[Chronic external instability of the ankle. Contribution of dynamic radiographies, x-ray computed tomography and x-ray computed tomographic arthrography].

作者信息

Faure C, Deplus F, Besse J L, Moyen B, Bochu M

机构信息

Service de Radiologie ostéo-articulaire et Neuroradiologie, Hôpital Edouard-Herriot, Lyon.

出版信息

J Radiol. 1997 Sep;78(9):629-34.

PMID:9537181
Abstract

We retrospectively evaluated the anterior talo fibular ligament and the tarsal sinus of 17 patients who had complained of chronic ankle external instability. This study based on both surgery and CT-arthrography findings shows the pathologic or normal aspects of the talo-fibular anterior ligament (normal, lax, fibrosis residue, ruptured). It confirms the good anatomic analysis of the tarsal sinus, in particular the anterior talo-calcaneal interosseous ligament and the search for fibrosis. We underline that capsular distension due to subtalar laxity is not detected with medical imaging. Compared with surgery (all patients), CT arthrography demonstrated the different aspects of the anterior talo fibular ligament injuries (normal, lax, discontinuous).

摘要

我们回顾性评估了17例主诉慢性踝关节外侧不稳定患者的距腓前韧带和跗骨窦。这项基于手术和CT关节造影结果的研究显示了距腓前韧带的病理或正常情况(正常、松弛、纤维化残留、断裂)。它证实了对跗骨窦的良好解剖分析,特别是距跟骨间前韧带以及对纤维化的探查。我们强调,医学影像无法检测到由于距下关节松弛导致的关节囊扩张。与手术结果(所有患者)相比,CT关节造影显示了距腓前韧带损伤的不同情况(正常、松弛、不连续)。

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