踝关节生物力学ppt课件

1、The Tibia is the medial bone and largest bone of the lower leg.Tibia胫骨是小腿的最大和支撑骨的骨头。 Fibula-The fibula is longer and non weight bearing. It makes up the lateral aspect of the mortise. The lateral malleoli lies inferior (below) the medial malleoli它比较长和不承重。并组成踝关节外侧面。 并低于内侧面_- Talus_Talocrural Jt.calca

2、neusTalus-Subtalar JointMedial aspect of footTalusFibulaTibiaAnt. Talofibular LigamentAnt.Tibiofibular Lig.Post. Tibiofibular Lig.- Fibula- Ant. Talofibular Lig- TalusPeroneal TendonsCalcaneofibular LigamentCalcaneus Subtalar Joint SpaceCuboidcalcaneus-Fibular headPosterior tibiofibular LigamentAchi

3、lles TendonTalusPosterior talofibular lig.Peroneal tendonsTibiaXXXNavicular - TalusTibialis Posterior TendonTibialis Ant. TendonDeltoid LigamentX-Ant. Comp-Lat. Comp.SuperficialPosterior Post. Deep- Pain in calf is a positive sign and should be referred Compression TestPercussion TestHomans TestThom

4、pson Testpossibly the anterior and posterior talofibular ligamentsIf the calcaneus is everted, the deltoid ligament is testedAnterior Drawer TestTalar Tilt Test A positive test presents with excessive movement, indicating injury to the lateral ligamentsKleigers TestMedial Subtalar Glide Testdetermin

5、e joint integrity and muscle functionIf any of these are painful they should be avoidedan avulsion fracture to occur w/ the lateral malleolusTape may provide some additional supportReturn to activity in 7-10 daysManagementRICE for at least first 72 hours; X-ray exam to rule out fx; crutches 5-10 days, progressing to weight bearingSevere pain, swelling, hemarthrosis, discolorationUnable to bear weightPositive talar tilt and anterior draw