Ankle Arthrography and Chronic Lateral Ankle Instability

踝關節攝影與慢性外側不穩性踝關節

鄭裕民(Yuh-Min Cheng) ； 黃鵬如(Peng-Ju Huang) ； 傅尹志(Yin-Chih Fu) ； 呂衍謀(Yen-Mo Lu) ； 洪韶鴻(Shau-Hong Hong) ； 林森源(Sen-Yuen Lin) ； 陳蘭蕙(Lan-Hui Chen) ； 江秀珠(Show-Chu Chiang)

《The Kaohsiung Journal of Medical Sciences》 14卷2期 (1998/02) Pp. 81-87

https://doi.org/10.6452/KJMS.199802.0081

摘要

從1987至1995年間，有65個因長期踝關節外側不隱定而施行重建手術患者的術前踝關節攝影被採用為術後之檢討研究，並與其手術中的發現比較。我們發現有15個患者(23.1%)術前即有「明確」的踝關節外側韌帶損傷之踝關節攝影表徵。至於其餘的50個患者(76.9%)，其踝關節攝影表現現在腓骨端關節內有似淚滴狀的顯影劑滲出，我們稱此現象為「疑似」外側韌帶損傷，而這些患者手術中除了一個例外，均證明確有相關的病灶。
由於在我們手術的患者當中若把上述「明確」的和「疑似」的踝關節攝影發現一併考量，則只有一例在手術中發現是錯誤的，故我們認為踝關節攝影即使在慢性踝關節不隱的患者仍有相當的可信度，並且值得做為參考。在有臨床症狀卻又用其他方法檢查不出來的患者，踝關節攝影也許可能幫助醫師作出手術的決定。

並列摘要

Sixty-five ankle arthrograms of the patients who underwent surgical reconstruction for their chronic ankle instability from 1987 to 1995 were studied retrospectively by comparing their operative findings. There were 15 cases (23.1%) with definite positive arthrographic findings. In the remaining 50 cases (76.95), the arthrograms showed a “tear-drop” extravasation of dye beneath the fibular tip which we called “suspectable positive”. Of these all but one, which had normal ligament, proved to correspond to the operative finding
As there was only one false positive finding among our surgical cases with both the “definite” and “suspectable” positive arthrograms, we concluded that ankle arthrogaraphy is relatively reliable and may be worth doing even in chronic cases if only for reference. Even when other diagnostic methods are negative, arthrography might help surgoms make surgical decisions in clinical symptomatic cases.

並列關鍵字

arthrography ； ankle instability