急性踝关节三角韧带损伤的诊疗进展
刘彬
陈志伟
吴文特
阳海清
陈丹
曾多名
1.南华大学附属第一医院骨科, 湖南,4210012.南华大学附属第一医院骨科, 湖南,4210013.南华大学附属第一医院骨科, 湖南,4210014.南华大学附属第一医院骨科, 湖南,4210015.南华大学附属第一医院骨科, 湖南,4210016.南华大学附属第一医院骨科, 湖南,421001
摘要：The deltoid ligaments of ankle are the main stable structures on maintaining the mechanical structures of medial ankle, which play an important role in keeping ankle stability by limiting excessive valgus and external rotation of ankle. The deltoid ligaments of ankle are divided into the deep and superifcial layers. Superifcial layers mainly limit outreach and slope of the talus, and meanwhile, deep layers play a crucial role in the prevention of talus pronation. Deltoid ligament injuries always happen with the fracture of the extramalleolus and injury of inferior tibioifbular syndesmosis. At present, there is no standard about the diagnosis and treatment of acute deltoid ligament injury. Stress X-ray of ankle, B ultrasound, MRI and arthroscopy of ankle can be used as the main basis of diagnosis, but the diagnosis and treatment of acute deltoid ligament injury remains a worldwide problem. The views inside and outside the country are different for the treatment of acute deltoid ligament injury. Domestic scholars suggest to repair with anchor suture, but, foreign scholars support ligament reconstruction surgery. During the treatment, many doctors attach great importance to the open reduction and internal ifxation of the fracture of the medial malleolar and lateral malleolus, and ignore the repairing of the medial deltoid ligament, which eventually leads to continuous postoperative instability of the ankle and poor effects. In this paper, we are to discuss the diagnosis and treatment progress of the acute injury of the deltoid ligament.
关键词：踝关节创伤和损伤韧带关节诊断治疗
分类号：R684(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 779-782 )
英文信息