踝关节骨折分型

1、关于踝关节骨折的分型第一张，PPT共十四页，创作于2022年6月旋前 旋后第二张，PPT共十四页，创作于2022年6月内收 外展 外旋Adduction Abduction Exteral-rotation第三张，PPT共十四页，创作于2022年6月Supination-Adduction (SA) 旋后-内收*Transverse avulsion-type fracture of the fibula below the level of the joint or tear of the lateral collateral ligaments.腓骨下端横行撕脱骨折或外侧副韧带撕裂。*Ve

2、rtical fracture of the medial malleolus.内踝垂直骨折线。Campbells operative orthopaedics 11th第四张，PPT共十四页，创作于2022年6月Supination-Eversion (External -Rotation) (SER)旋后-外翻（外旋）*Disruption of the anterior tibiofibular ligament 下胫腓前韧带断裂*Spiral oblique fracture of the distal fibula 腓骨远端螺旋型骨折*Disruption of the poster

3、ior tibiofibular ligament or fracture of the posterior malleolus 下胫腓后韧带断裂或后踝骨折*Fracture of the medial malleolus or rupture of the deltoid ligament 内踝骨折或三角韧带撕裂第五张，PPT共十四页，创作于2022年6月Pronation-Abduction (PA) 旋前-外展*Transverse fracture of the medial malleolus or rupture of the deltoid ligament 内踝横行骨折或三角韧

4、带撕裂*Rupture of the syndesmotic ligaments or avulsion fracture of their insertions 下胫腓韧带联合撕裂或止点骨折*Short, horizontal, oblique fracture of the fibula above the level of the joint. 高位短斜形或水平腓骨骨折第六张，PPT共十四页，创作于2022年6月Pronation-Eversion (External Rotation) (PER) 旋前-外翻（外旋）*Transverse fracture of the medial

5、malleolus or disruption of the deltoid ligament 内踝横行骨折或三角韧带撕裂*Disruption of the anterior tibiofibular ligament下胫腓前韧带撕裂*Short oblique fracture of the fibula above the level of the joint 高位腓骨短斜形骨折*Rupture of posterior tibiofibular ligament or avulsion fracture of the posterolateral tibia下胫腓后韧带断裂或后外踝骨折

6、第七张，PPT共十四页，创作于2022年6月FIGURE 53-7 Schematic diagram and case examples of Lauge-Hansen supination-external rotation and supination-adduction ankle fractures. A. A supinated foot sustains either an external rotation or adduction force and creates the successive stages of injury shown in the diagram. T

7、he supination-external rotation mechanism has four stages of injury, and the supination-adduction mechanism has two stages. Anteroposterior (B) and lateral (C) x-rays show an unstable supination-external rotation stage IV ankle fracture with the characteristic oblique distal fibula fracture and a me

8、dial side injury. D. An anteroposterior x-ray of a supination-adduction ankle fracture with a transverse fibula fracture and an impacted medial malleolar fracture.第八张，PPT共十四页，创作于2022年6月FIGURE 53-8 Schematic diagram and case examples of Lauge-Hansen pronation-external rotation and pronation-abduction

9、 ankle fractures. A. A pronated foot sustains either an external rotation or abduction force and creates the successive stages of injury shown in the diagram. The pronation-external rotation mechanism has four stages of injury, and the pronation-abduction mechanism has three stages. B. An anteropost

10、erior x-ray of the ankle and tibia and fibula demonstrate a high fibula fracture. C. External rotation stress shows lateral displacement of the talus and widening of the distal syndesmosis. These x-rays are characteristic of a pronation-external rotation injury. D. An anteroposterior x-ray of a typi

11、cal pronation-abduction ankle fracture. The fibula is laterally comminuted.第九张，PPT共十四页，创作于2022年6月Figure 59-22 Supination-adduction injury pathology. The first stage is lateral failure of either the malleolus or the collateral ligament. The second stage is a vertical fracture of the medial malleolus,

12、 which maybe associated with medial plafond impaction, as shown here. 第十张，PPT共十四页，创作于2022年6月Figure 59-25 Supination-external rotation injury pathology. The first stage is failure of the anterior inferior tibiofibular ligament (AITFL). The second stage is a spiral lateral malleolar fracture at the le

13、vel of the plafond. The third stage is posterior inferior tibiofibular ligament (PITFL) failure. The fourth stage is medial failure of either malleolus or the deltoid ligament.第十一张，PPT共十四页，创作于2022年6月Figure 59-27 Pronation-abduction injury pathology. The first stage is medial failure of either malleo

14、lus or the deltoid ligament. The second stage is syndesmosis (anterior inferior tibiofibular ligament and posterior inferior tibiofibular ligament) disruption. The third stage is a bending fracture of the lateral malleolus with a transverse, laterally comminuted pattern.第十二张，PPT共十四页，创作于2022年6月Figure 59-28 Pronation-external rotation injury pathology. The first stage is medial failure of either malleolus or the deltoid ligament. The second stage is anterior inferior tibiofibular ligament disruption. The third stage is a spiral