三角韧带损伤和修复。

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Orthopaedic Surgery Pub Date : 2023-05-01 DOI:10.1177/10225536231182345
Loek Loozen, Andrea Veljkovic, Alastair Younger
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引用次数: 0

摘要

三角韧带是踝关节内侧的主要稳定器。三角韧带结构复杂,起源于内侧踝骨,从此处向远端呈扇形展开,插入距骨、小方骨和舟骨的内侧。本章概述了三角韧带的解剖、功能和病理。三角韧带可因踝关节损伤或长期劳损而变得不足。在急性期,三角韧带功能不全往往与踝关节多韧带损伤、踝关节联合损伤或踝关节骨折同时发生。急性期的处理方法仍存在争议。一些骨科医生倾向于进行修复,而大多数创伤外科医生通常会对三角韧带进行非手术治疗。在慢性情况下,韧带复合体通常会因长期劳损而拉长。它通常与后足外翻同时存在,平面外翻足就是这种情况。在这种情况下,应结合三角韧带修复术进行重新调整。
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Deltoid ligament injury and repair.

The deltoid ligament is the primary stabilizer of the medial side of the ankle joint. It is a complex structure with an origin at the medial malleolus from where it spreads fan shaped distally with an insertion into the medial side of the talus, calcaneus and navicular bone. This chapter gives an overview of the anatomy, function, and pathology of the deltoid ligament.The deltoid ligament can become insufficient as a result of an ankle injury or prolonged strain. In the acute setting, deltoid insufficiency often coincides with multi ligament injury the ankle joint; syndesmosis injury, or ankle fractures. Management in the acute phase remains a subject of debate. Some orthopedic surgeons have a tendency towards repair, whereas most trauma surgeons often treat the deltoid nonoperatively. In the chronic setting the ligament complex is often elongated as a result of prolonged strain. It often coexists with a hindfoot valgus, as is the case in planovalgus feet. In such a case a realignment procedure should be combined with the deltoid repair.

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来源期刊
Journal of Orthopaedic Surgery
Journal of Orthopaedic Surgery ORTHOPEDICS-SURGERY
CiteScore
3.10
自引率
0.00%
发文量
91
审稿时长
13 weeks
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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