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踝关节下胫腓韧带扭伤挤压试验的生化分析

A biochemical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle.

作者信息

Teitz C C, Harrington R M

机构信息

Department of Orthopaedic Surgery, University of Washington, Seattle 98195, USA.

出版信息

Foot Ankle Int. 1998 Jul;19(7):489-92. doi: 10.1177/107110079801900713.

DOI:10.1177/107110079801900713
PMID:9694130
Abstract

The "squeeze test" is a clinical test for detecting "stable" syndesmosis injuries. The test is positive when proximal compression of the calf produces pain in the area of the distal tibiofibular and interosseous ligaments. The purpose of this study was to examine what fibular movement, if any, occurs at the level of the ankle mortise when compression is applied proximally. A differential variable reluctance transducer was inserted into the origin and insertion of the anterior tibiofibular ligaments of fresh cadaver human lower limbs which had been prepared to simulate the clinical conditions of the squeeze test. Compression was applied both manually and with a specially designed clamp. Squeezing the calf caused separation of the distal fibula and tibia.

摘要

“挤压试验”是一种用于检测“稳定型”下胫腓联合损伤的临床检查。当近端挤压小腿时,在胫腓骨远端和骨间韧带区域产生疼痛,则该试验为阳性。本研究的目的是检查当在近端施加压力时,踝关节 mortise 水平是否会发生腓骨运动(若有)。将一个差动可变磁阻传感器插入新鲜尸体人类下肢胫腓前韧带的起点和止点,这些下肢已被制备成模拟挤压试验的临床情况。通过手动和使用专门设计的夹具施加压力。挤压小腿会导致腓骨远端和胫骨分离。

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