- 期刊
超音波影像對於診斷前距腓韌帶損傷的應用
Ultrasound Application in Anterior Talofibular Ligament Injury
摘要
前距腓韌帶（anterior talofibular ligament）在踝關節中為最常受傷的結構，由於它位於踝關節外側，所以患者常因為運動、上下樓梯不慎而腳踝內翻（inversion）導致位在外側的前距腓韌帶拉傷。以往踝關節韌帶損傷，大部分以臨床訊問病史及理學檢查作為診治的重要依據，並且以X 光來評估有無骨折及附近軟組織的情形。近幾年高解析力超音波被廣泛使用於人體組織的動態檢查，已經可以有效診斷出踝關節韌帶受損程度。此研究收集了一年內在本院各科部開立了439 個踝關節超音波檢查的案例，其中有124 個案例，在醫囑中有明確做過理學檢查及懷疑前距腓韌帶斷裂的情形，9 個案例有開立X 光韌帶加壓攝影檢查，另5 個案例有開立磁振造影，在診斷踝關節韌帶的方法上高解析力超音波技術遠優於X 光及磁振造影，它能夠提供踝關節韌帶一個早期發現並即時得以治療的好工具。
並列摘要
Anterior talofibular ligament (ATFL) is the body part that most commonly injured in the ankle joint. Because it is located near the lateral malleolus of the ankle joint, on the basis of the patients often sprained his ankle joint by accidentally inversion of ankle when he got up and down stairs or did some exercise. In the past, physicians diagnosed and treated the ankle ligament injury on the basis of patient's injury history and physical examination, and access the condition of the ankle with or without fractures and the nearby soft tissues with radiography. In recent years, high resolution ultrasound is widely used for dynamic examinations of human tissue, and it has been effectively in diagnosing the extent of the ankle ligament damage. In this study , we collected ankle ultrasound studies of 439 utilized patients referred from outpatient clinics in our hospital within a year, among them 124 cases were suspected to have ligament tear based on the physical examinations, 9 cases had ligament stress radiographic examination and the other five cases were had MRI. In the diagnosis of ankle ligament injury, high resolution ultrasound is much better than X-ray and MRI, which can provide an early diganosis of ankle joint ligament tear.