The injury of the Calcaneocuboid ligaments
The injury of the Calcaneocuboid ligaments
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DOI：
10.1177/107110070002100504
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发表时间：
2000-05-01
影响因子：
2.7
通讯作者：
Rehm, KE
中科院分区：
文献类型：
--
作者：
Andermahr, J;Helling, HJ;Rehm, KE
跟骨立方韧带的选择性断裂是非常罕见的，并且经常被误诊。本研究试图阐明该实体的机制、分类和治疗。除了常规的前后位和侧位视图外，还强调了内翻应力的x线片和某些情况下的计算机断层扫描（CT）和磁共振成像（MRI）的必要性。本文对521例踝关节扭伤损伤中的13例进行了描述、分类并讨论了治疗方法：如果在内翻应力x线片上显示跟骨八方角为10度，伴有或不伴有韧带插入处的小骨片状（2型），应首先用鞋石膏治疗6周；如果症状持续存在，建议行腓骨短肌腱二次移植。跟八方角bbb10度伴大片状（3型）应通过切开复位和韧带再固定治疗。复杂损伤（4型）以长方体受压骨折和韧带断裂为特征。
The selective rupture of the calcaneocuboid ligament is extremely rare and frequently misdiagnosed. This study tries to clarify the mechanism, classification and treatment of this entity. The necessity of radiographs with varus stress and in certain cases of computer tomography (CT) and magnetic resonance imaging (MRI), beside the routine antero-posterior and lateral views, is emphasized. Thirteen cases out of five-hundred-twenty-one sprain injuries of the ankle are described, classified and the therapy discussed: If on varus stress radiographs, there is a calcaneocuboid angle 10 degrees with or without a small bony flake of the ligament insertion (type 2) should primarily be treated with a shoe cast for 6 weeks; if there are persistent symptoms a secondary peroneus brevis tendon graft is recommended. A calcaneocuboid angle >10 degrees with a big flake (type 3) should be treated by open reduction and refixation of the ligament. Complex injuries (type 4) are characterised by cuboid compression fracture and ligament rupture.