本文選題：外側(cè)韌帶　切入點(diǎn)：踝　出處：《解放軍醫(yī)學(xué)雜志》2005年05期 　論文類型：期刊論文

【摘要】：目的探討應(yīng)力位片在慢性外踝關(guān)節(jié)不穩(wěn)定診斷中的意義,提出影像學(xué)的定量診斷方法。方法隨機(jī)選擇慢性外踝關(guān)節(jié)不穩(wěn)的陸軍士兵40人共42側(cè)患踝,正常對(duì)照組40人共80側(cè)踝。拍攝前抽屜試驗(yàn)側(cè)位片及內(nèi)翻應(yīng)力正位片,分別測量距骨前移距離(ATT)及距骨斜角(TT)。結(jié)果患側(cè)ATT平均7.8mm,TT平均9.1°,而健側(cè)分別為5.4mm及5.4°,對(duì)照組為6.1mm及4.9°,患側(cè)與健側(cè)及對(duì)照組比較均有顯著性差異(P0.01),健側(cè)與對(duì)照組比較差異無顯著性�；紓�(cè)與健側(cè)距骨前移距離差值(△ATT)平均2.4mm,距骨斜角差值(△TT)平均3.7°,而對(duì)照組分別為0.9mm及1.1°,與慢性外踝關(guān)節(jié)不穩(wěn)的40例比較差異顯著(P0.01)。118例正常踝關(guān)節(jié)ATT、TT的P95分別為8mm及9°。結(jié)論前抽屜試驗(yàn)側(cè)位片及內(nèi)翻應(yīng)力正位片對(duì)于慢性外踝不穩(wěn)診斷具有重要意義。前抽屜試驗(yàn)側(cè)位片中ATT≥8mm、△ATT≥2mm,內(nèi)翻應(yīng)力正位片中TT≥9°、△ATT≥3°可作為衡量踝關(guān)節(jié)不穩(wěn)定的標(biāo)準(zhǔn)。
[Abstract]:Objective to explore the significance of stress position film in the diagnosis of chronic lateral ankle instability and to put forward a quantitative imaging diagnostic method. Methods Forty army soldiers with chronic lateral ankle instability were randomly selected from 42 affected ankles. In the control group, 80 malleolus were obtained from 40 normal subjects. The lateral films and inverted stress films were taken in the anterior drawer test. Results the average ATT of the affected side was 9.1 擄, while that of the healthy side was 5.4 擄and 6.1mm and 4.9 擄, respectively. There was significant difference between the affected side and the healthy side and the control group (P 0.01). There was a significant difference between the affected side and the healthy side and the control group (P < 0.01). There was no significant difference between the two sides. The average ATT was 2.4 mm, and the average gradient of talus was 3.7 擄, compared with 0.9 mm and 1.1 擄in the control group. There was a significant difference between the patients with chronic lateral ankle instability (40 cases) and the patients with chronic lateral ankle instability (P 0.01). 118 cases were positive. The P95 of ATTTTTTT in normal ankle joint is 8mm and 9 擄respectively. Conclusion it is important to diagnose chronic lateral malleolus instability by anterior drawer test lateral film and varus stress positive film. The ATT 鈮，

本文編號(hào)：1592060