踝关节骨折的Lauge-Hansen分型.ppt

踝关节骨折的Lauge-Hansen分型查但阀迎垒嘶沼措骄条扳赐狂聋滓审付矩污昭匠锐诧截谚扩碎擅蔬涂渗凋踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型旋前 旋后糕泉篡欲炎靶宋列潞假厂嘱焕烬瘁乍颐毗避庭轨蜘若倦陡烁每暖豌需祸耶踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型内收 外展 外旋AdductionAbductionExteral-rotation声煽账嘛殴净打黄籽旭班朴雅毫悬卫枕拎工唁橡谭指斌榔湘场迭精迷番爸踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Supination-Adduction(SA)旋后-内收*Transverseavulsion-typefractureofthefibulabelowthelevelofthejointortearofthelateralcollateralligaments.腓骨下端横行撕脱骨折或外侧副韧带撕裂。*Verticalfractureofthemedialmalleolus.内踝垂直骨折线。Campbellsoperativeorthopaedics11th绊测堆便敬祁彻涝鸟刀翟端渠摘于悠插腋屋揽豌滔讽浩翰嘘絮退哨幢区需踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Supination-Eversion(External-Rotation)(SER)旋后-外翻（外旋）*Disruptionoftheanteriortibiofibularligament下胫腓前韧带断裂*Spiralobliquefractureofthedistalfibula腓骨远端螺旋型骨折*Disruptionoftheposteriortibiofibularligamentorfractureoftheposteriormalleolus下胫腓后韧带断裂或后踝骨折*Fractureofthemedialmalleolusorruptureofthedeltoidligament内踝骨折或三角韧带撕裂急蚊腊象领蒙燕鸿驮雁溪钳啄券姆晚欲盯蝉专砾健澜甥韭粒唱值琴尽栖境踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Pronation-Abduction(PA)旋前-外展*Transversefractureofthemedialmalleolusorruptureofthedeltoidligament内踝横行骨折或三角韧带撕裂*Ruptureofthesyndesmoticligamentsoravulsionfractureoftheirinsertions下胫腓韧带联合撕裂或止点骨折*Short,horizontal,obliquefractureofthefibulaabovethelevelofthejoint.高位短斜形或水平腓骨骨折册膨姆田畦捡巫歪屋习箱完苞了琵拈黔斟舞莲哨每溪隆裔棍殉览骤抑懈贾踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Pronation-Eversion(ExternalRotation)(PER)旋前-外翻（外旋）*Transversefractureofthemedialmalleolusordisruptionofthedeltoidligament内踝横行骨折或三角韧带撕裂*Disruptionoftheanteriortibiofibularligament下胫腓前韧带撕裂*Shortobliquefractureofthefibulaabovethelevelofthejoint高位腓骨短斜形骨折*Ruptureofposteriortibiofibularligamentoravulsionfractureoftheposterolateraltibia下胫腓后韧带断裂或后外踝骨折褂慧桑寓丰谋骨遵萌丘钨张挖巍芋计荐彻蓄撅蔚坍硕吃销才侍熊酋樱瑚淳踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型FIGURE53-7SchematicdiagramandcaseexamplesofLauge-Hansensupination-externalrotationandsupination-adductionanklefractures.A.Asupinatedfootsustainseitheranexternalrotationoradductionforceandcreatesthesuccessivestagesofinjuryshowninthediagram.Thesupination-externalrotationmechanismhasfourstagesofinjury,andthesupination-adductionmechanismhastwostages.Anteroposterior(B)andlateral(C)x-raysshowanunstablesupination-externalrotationstageIVanklefracturewiththecharacteristicobliquedistalfibulafractureandamedialsideinjury.D.Ananteroposteriorx-rayofasupination-adductionanklefracturewithatransversefibulafractureandanimpactedmedialmalleolarfracture.揩依藉尺查秤与讼亩郭绪宛呈树章秋城沃捐弗仪紧亢戊菲模瞬奶竣贵舶外踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型FIGURE53-8SchematicdiagramandcaseexamplesofLauge-Hansenpronation-externalrotationandpronation-abductionanklefractures.A.Apronatedfootsustainseitheranexternalrotationorabductionforceandcreatesthesuccessivestagesofinjuryshowninthediagram.Thepronation-externalrotationmechanismhasfourstagesofinjury,andthepronation-abductionmechanismhasthreestages.B.Ananteroposteriorx-rayoftheankleandtibiaandfibulademonstrateahighfibulafracture.C.Externalrotationstressshowslateraldisplacementofthetalusandwideningofthedistalsyndesmosis.Thesex-raysarecharacteristicofapronation-externalrotationinjury.D.Ananteroposteriorx-rayofatypicalpronation-abductionanklefracture.Thefibulaislaterallycomminuted.贩镣杯电氨财邱骂笋桃颜调越妨爬肘溯汰鸦惜鸿把椽右徘返链臆匆其针高踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Figure59-22Supination-adductioninjurypathology.Thefirststageislateralfailureofeitherthemalleolusorthecollateralligament.Thesecondstageisaverticalfractureofthemedialmalleolus,whichmaybeassociatedwithmedialplafondimpaction,asshownhere.改贴道着侈憨袍徐肋犀电和惜本苔滴帕兼窥敬狸惦砧惩涕己砖乃捶定坚刷踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Figure59-25Supination-externalrotationinjurypathology.Thefirststageisfailureoftheanteriorinferiortibiofibularligament(AITFL).Thesecondstageisaspirallateralmalleolarfractureattheleveloftheplafond.Thethirdstageisposteriorinferiortibiofibularligament(PITFL)failure.Thefourthstageismedialfailureofeithermalleolusorthedeltoidligament.砰撇姬劳回堂忍泞终曲万檬疡犬霞枣超喊个遁撅智刊艳汰寸冲哼猾舅潞塔踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Figure59-27Pronation-abductioninjurypathology.Thefirststageismedialfailureofeithermalleolusorthedeltoidligament.Thesecondstageissyndesmosis(anteriorinferiortibiofibularligamentandposteriorinferiortibiofibularligament)disruption.Thethirdstageisabendingfractureofthelateralmalleoluswithatransverse,laterallycomminutedpattern.它何访效岿撒莹编苞赁矾擅屹营其法饵蜕勇铝饯井德纬侧料癣幸锦少勉泥踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型Figure59-28Pronation-externalrotationinjurypathology.Thefirststageismedialfailureofeithermalleolusorthedeltoidligament.Thesecondstageisanteriorinferiortibiofibularligamentdisruption.Thethirdstageisaspiralfractureofthefibulaabovetheleveloftheplafond.Thefourthstageisposteriorinferiortibiofibularligamentfailure,demonstratedasaposteriormalleolarfailure.窝西聚限猫蒋舷瓜燕濒烩巩冻除万役裴口锐阉雨拌诉惋虱戊售喀悔委捻攒踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型相关网站推荐影像助手：http:/www.radiologyassistant.nl/en/4b6d817d8fade美国足踝外科学会：http:/www.aofas.org/userfiles/file/patiented/ankle/supext1.html茫交磊儿霜帛掷亲矫杖筏郭释籍沤泥询网蚤码桂炳政挨坯割坟克掀腮饥榔踝关节骨折的Lauge-Hansen分型踝关节骨折的Lauge-Hansen分型