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上胫腓关节脱位的诊断和治疗进展
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作者Author单位UnitE-Mail
袁斌 YUAN Bin 徐州医科大学附属医院骨科, 江苏 徐州 221000 Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China  
葛保健 GE Bao-jian 徐州医科大学附属医院骨科, 江苏 徐州 221000 Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China gbjly81@sina.com 
孟柏屹 MENG Bai-yi 徐州医科大学附属医院骨科, 江苏 徐州 221000 Department of Orthopaedics, the Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China  
期刊信息:《中国骨伤》2017年30卷,第10期,第972-975页
DOI:10.3969/j.issn.1003-0034.2017.10.019
基金项目:江苏省卫计委面上项目(编号:H201528);徐市科技项目(编号:KC14SH091)。
上胫腓关节脱位在临床相对少见,可以是单纯的脱位,也合并胫骨骨折、腓骨骨折、踝关节等损伤,慢性不稳的患者易被误诊为半月板损伤。由于其临床症状较轻,影像学改变细微,容易被误诊或漏诊,及时的诊断和治疗对于预防膝关节慢性疼痛和不稳至关重要。本文总结了上胫腓关节脱位的解剖基础、损伤分型、诊断要点、手法复位、手术治疗、临床效果及不足等各方面进展,以指导临床工作中对上胫腓关节脱位的诊断和治疗。
[关键词]:膝关节  脱位  综述文献
 
Progress on diagnosis and treatment of proximal tibiofibular joint dislocation
Abstract:Dislocation of proximal tibiofibular joint(PTFJ) is relatively infrequent in clinic,it can be either isolated or associated with tibia fracture,fibular fracture and ankle injury and so on. Chronic symptomatic PTFJ instability are easily mixed with meniscal tears. It was easily neglected because of the mild clinical presentation and atypical change on radiography. Early diagnosis and treatment are crucial to prevent chronic knee pain and instability. The paper concluded the anatomy,classification,complication,diagnosis,treatment,clinical effect and insufficient of the dislocation of PTFJ,to direct the diagnosis and treatment of proximal tibiofibular joint dislocation in clinical work.
KEYWORDS:Knee joint  Dislocations  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:袁斌,葛保健,孟柏屹.上胫腓关节脱位的诊断和治疗进展[J].中国骨伤,2017,30(10):972~975
英文格式:YUAN Bin,GE Bao-jian,MENG Bai-yi.Progress on diagnosis and treatment of proximal tibiofibular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(10):972~975
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