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踝关节骨折放射学要点
原作者: Michael Bond,李辉翻译,肖锋 发布日期:2015-02-28

 Title: Radiology Ankle Fracture Pearls

题目:踝关节骨折放射学要点

Author 作者: Michael Bond

翻译:李辉 校对:肖锋

 

Maisonneuve fracture – fracture of the medial malleolus with disruption of the tibiofibular syndesmosis with associated fracture of the proximal fibular shaft (http://radiopaedia.org/articles/maisonneuve-fracture)

Maisonneuve骨折—内踝骨折合并下胫腓联合分离,以及相应的腓骨干近端骨折。

When to look for high fibular fracture

什么时候应寻找高位的腓骨骨折:

• Isolated fracture of medial malleolus

• 孤立的内踝骨折

• Isolated fracture of malleolus tertius without fracture on the lateral side

• 孤立的内踝腓骨远端内侧骨折而无外侧骨折

• Any painful swelling or hematoma on medial side without a fracture on x-ray

• 内踝任何的肿胀或疼痛而X线上无骨折表现

Always look for avulsion fracture of 5th metatarsal styloid in patients with ankle pain and no obvious fractures

对踝关节疼痛而无明显骨折的患者注意寻找第5跖骨茎突的撕裂性骨折。

Dans-Weber Classification – for lateral malleolar fractures (http://radiopaedia.org/articles/ankle-fracture-classification-weber)

Dans-Weber分类—关于外踝骨折

1 Type A – fracture below ankle joint

A型— 踝关节以下骨折

2 Type B – at level of joint with tibifibular joint intact

B型-关节水平,胫腓关节未受损

3 Type C – fracture above joint with tears syndesmotic joint

C型-关节以上骨折合并胫腓联合撕裂