最近审阅: 4 十一月 2020
最近更新: 01 六月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 近期外伤
  • 踝关节疼痛和肿胀
  • 不能负重
  • 内踝和/或外踝肿胀和触痛

其他诊断因素

  • 摔倒时“啵”的一声
  • 踝关节畸形
  • 捻发音
  • 腓骨近端触痛
  • 内踝表面皮肤顶起
  • 渥太华踝关节规则
  • 骨质疏松病史
  • 频繁摔倒病史
  • 血管损害

危险因素

  • 骨质疏松症
  • 多次摔伤
  • 低能量摔伤
  • 踝关节内翻损伤
  • 运动损伤

诊断性检查

需考虑的检查

  • 应力位X线片
  • CT
  • 核磁共振成像 (MRI)
更多 需考虑的检查

治疗流程

撰稿人

Resident

Orthopaedic Surgery

OLVG

Amsterdam

The Netherlands

利益声明

ESV declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Joint Research

Onze Lieve Vrouwe Gasthuis

Amsterdam

The Netherlands

利益声明

RWP has been a member of the Dutch Orthopedic Association Committee, has received grants for the ZonMW ESCAPE trial, DART trial, Achmea Escape trial and Van Rens Fonds REDEP trial, and has contributed to the following educational events: the Waldemar Link hip course and the J&J hip course.

Dr Ewout S. Veltman and Dr Rudolf W. Poolman would like to gratefully acknowledge Dr Mohit Bhandari and Dr Brad Petrisor, previous contributors to this monograph, as well as Dr Victor A. van de Graaf and Dr Dirk P. ter Meulen for their assistance with the final draft. MB and BP declare that they have no competing interests.

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Professor of Orthopaedic Surgery

Consultant Orthopaedic Surgeon

Edinburgh Orthopaedic Trauma Unit

Royal Infirmary of Edinburgh

Edinburgh

UK

利益声明

CCB is an author of several references cited in this monograph.

Professor

University of Kentucky School of Medicine

President and Chief Executive Officer

American Board of Family Medicine

Lexington

KY

利益声明

JCP declares that he has no competing interests.

Clinical Assistant Professor of Medicine

Robert Wood Johnson Medical School

University of Medicine and Dentistry of New Jersey

Piscataway

NJ

利益声明

PHC declares that he has no competing interests.

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