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