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高频超声图像分析急性踝关节韧带损伤及伴发损伤

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目的 探讨高频超声评估距腓前韧带不同程度损伤及周围韧带损伤的价值,旨在为临床医师制定诊疗方案提供影像学依据。方法 回顾性分析于2021年1月~2023年10月在中国科学技术大学附属第一医院(安徽省立医院)南区经高频超声诊断为距腓前韧带损伤的患者829例,分析距腓前韧带不同程度损伤时患者的距腓前韧带与跟腓韧带韧带厚度变化,同时观察距腓前韧带、跟腓韧带及周围韧带的损伤情况。结果 距腓前韧带不完全型损伤时,左侧与右侧跟腓韧带损伤厚度分别为1。76±0。48 mm和1。89±0。56 mm,差异有统计学意义(P<0。05)。距腓前韧带不完全损伤与完全断裂时,跟腓韧带的厚度分别为1。83±0。53 mm和2。14±0。55 mm,差异有统计学意义(P<0。001)。距腓前韧带不完全损伤与完全撕裂时伴发的跟腓韧带、伸肌上支持带损伤的差异有统计学意义(P<0。05)。结论 高频超声检查在诊断急性踝关节韧带损伤中具有较高价值,距腓前韧带完全断裂可引起跟腓韧带增厚,由于运动时右侧优势的存在,右侧跟腓韧带会明显增厚。距腓前韧带损伤较易引起跟腓韧带和伸肌上支持带合并损伤,在进行超声检查时应特别注意是否存在联合损伤。
High-frequency ultrasound examination of acute ankle joint ligament injury and secondary injury
Objective To explore the diagnostic value of high-frequency ultrasonography in the incidence of anterior talofibular ligament injury with different degrees and peripheral ligament injury,aimed at providing an imaging basis for the clinicians to formulate the diagnostic and treatment plan.Methods A total of 829 patients with anterior talofibular ligament injury diagnosed by high-frequency ultrasound in the Southern District of the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)from January 2021 to October 2023 were retrospectively analyzed.The ligament thickness of the anterior talofibular ligament and the calcaneofibular ligament were analyzed when the anterior talofibular ligament was damaged in different degrees,and the damage of the anterior talofibular ligament,the calcaneofibular ligament,and the peripheral ligaments were observed at the same time.Results In the case of incomplete anterior talofibular ligament injury,the thickness of left and right calcaneofibular ligament injury was 1.76±0.48 mm and 1.89±0.56 mm(P<0.05).The thickness of the anterior talofibular ligament was 1.83±0.53 mm and 2.14±0.55 mm for incomplete and complete injury of the anterior talofibular ligament(P<0.001).The injury degree of anterior talofibular ligament had statistical significance on the injury of calcaneofibular ligament and superior retinaculum(P<0.05).Conclusion A complete rupture of the anterior talofibular ligament injury can cause significant thickening of the calcaneofibular ligament,and the thickness of the right calcaneofibular ligament will be significantly thickened due to the presence of a right--sided dominance during exercise.Injury of the anterior talofibular ligament is more likely to cause combined injury of the calcaneofibular ligament.Therefore the superior retinaculum,and special attention should be paid to whether there is a combined injury during the examination.

ankle joint injuryanterior talofibular ligamenthigh-frequency ultrasound

于琦芮、刘卫勇、王雨豪

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蚌埠医科大学研究生院,安徽 蚌埠 233030

中国科学技术大学附属第一医院(安徽省立医院)超声医学科,安徽 合肥 230001

踝关节损伤 距腓前韧带 超声检查

安徽省重点研究与开发计划项目

201904a07020095

2024

分子影像学杂志
南方医科大学

分子影像学杂志

CSTPCD
ISSN:1674-4500
年,卷(期):2024.47(9)