| 创伤性上胫腓关节脱位 |
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投稿时间：2012-03-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 方伟松 |
FANG Wei-song |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
fws0307@yahoo.com.cn |
| 罗聪 |
LUO Cong |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 邵汝谊 |
SHAO Ru-yi |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 周建明 |
ZHOU Jian-ming |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 石高才 |
SHI Gao-cai |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 卢焕兴 |
LU Huan-xing |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 楼才俊 |
LOU Cai-jun |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics,People′s Hospital of Zhuji,Zhuji 311800,Zhejiang,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第7期，第605-606页 |
| DOI：10.3969/j.issn.1003-0034.2012.07.019 |
| 基金项目: |
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中文摘要:
目的：探讨创伤性上胫腓关节脱位的特点、诊断及治疗。
方法：自2000年4月至2010年8月收治的创伤性急性上胫腓关节脱位12例,其中男10例,女2例;年龄18～60岁,平均30.6岁。根据Ogden分型：前外侧脱位8例,后内侧脱位2例,向上脱位2例。患者均表现为膝外下方肿胀,腓骨小头突出,腓骨小头疼痛,按压腓骨小头有浮动感。1例保守治疗,11例手术治疗。
结果：12例均获随访,时间10个月～3年,平均18个月。按Lysholm 评价标准：跛行(4.92±0.28)分,支撑(4.92±0.28)分,交锁(15.00±0.00)分,不稳定(24.58±0.79)分,疼痛(22.50±1.24)分,肿胀(8.50±0.90)分,爬楼梯(9.75±0.62)分,下蹲(4.92±0.28)分,总分(95.08±2.02)分;优11例,良1例。神经功能均恢复,X线检查无再脱位。
结论：创伤性上胫腓关节脱位易漏诊,手术是主要的治疗方法,预后良好。 |
| 【关键词】上胫腓关节 脱位 外科手术 |
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| Traumatic dislocation of superior tibiofibular joint |
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ABSTRACT
Objective: To explore the characteristics,diagnosis and treatment on traumatic dislocation.
Methods:From April 2000 to August 2010,12 patients with acute traumatic dislocation of superior tibiofibular joint were treated including 10 males and 2 females with an average age of 30.6 years old ranging from 18 to 60 years. According to Ogden classification,8 cases were the anterolateral dislocation,2 were posterior-medial dislocation,and 2 were upward dislocation. All patients had swelling in lateral-inferior of knee,fibular head prominent,fibular head pain,floating feeling in head of fibula. One case was treated by conservative treatment,and the remaining 11 cases by surgical treatment.
Results:All patients were followed-up for 10 months to 3 years (means 18 months). Evaluation by Lysholm scoring,the total scores were 95.08±2.02,involving limbing 4.92±0.28,support 4.92±0.28,interlocking 15.00±0.00,instability 24.58±0.79,pain 22.50±1.24,swell 8.50±0.90,climbing stairs 9.75±0.62,squatting 4.92±0.28; 11 cases achieved excellent results and 1 good. Nerve functional recovered. X-ray was no longer dislocation.
Conclusion:The diagnosis of traumatic dislocation is easy misseddiagnosis,surgery is the main treatment method,the prognosis is good. |
| KEY WORDS Superior tibiofibular joint Dislocations Surgical procedure,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方伟松,罗聪,邵汝谊,周建明,石高才,卢焕兴,楼才俊.创伤性上胫腓关节脱位[J].中国骨伤,2012,25(7):605~606 |
| 英文格式: | FANG Wei-song,LUO Cong,SHAO Ru-yi,ZHOU Jian-ming,SHI Gao-cai,LU Huan-xing,LOU Cai-jun.Traumatic dislocation of superior tibiofibular joint[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(7):605~606 |
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