166例正常成人踝穴位X线片分析及临床意义  

Radiograms of 166 normal ankle joint and its clinical value

作　　者：汤华林[1] 许海平[1] 李亚屏[1] 

机构地区：[1]宁波大学医学院附属医院骨科,浙江宁波315020

出　　处：《临床骨科杂志》2010年第1期74-76,共3页Journal of Clinical Orthopaedics

摘　　要：目的通过对166例正常成人X线踝穴位片部分数据分析,为临床踝部骨折的手术治疗提供参考依据。方法测量166例正常成人踝穴位X线片上外踝长度(L1)、下胫腓重叠影的长度(L2)以及两者之和(L3)和内踝远端内下骨皮质表面不同的3点在胫骨远端骨质范围内投影的夹角(∠A、∠B、∠C),分析其相互间特点。结果正常成年男、女性的左、右L1、L2、L3、∠A、∠B、∠C无差异;从∠A到∠B、∠B到∠C的夹角渐增大且差距明显。结论正常成人从内踝尖向近端皮质表面一定范围内其在胫骨远侧骨质范围内投影的夹角渐增大,内固定手术操作的空间和余地越大;外踝长度及腓骨重叠影的长度个体差异较大,术前计划需具体考虑。Objective To find out relative data by measuring the radiograms of normal ankle joint in 166 adults and to elucidate the clinical value.Methods 6 sets of data were measured on the 166 radiograms of normal ankle joint.There were length of lateral malleolus（L1）,length of tibiofibular overlapping（L2）,adds of L1 and L2,three angles（∠A,∠B,∠C） of difference point of medial malleolus.Results The L1,L2 or L3 between left and right ankle joint were no significant different in man or woman;There were significant difference between ∠A and ∠B,∠B and ∠C in man or woman.Conclusions Angle at difference point of medial malleolus are significant different in man or woman and length of lateral malleolus and tibiofibular overlapping of difference person.Therefore,detail operational plan is necessary.

关 键 词：踝关节/放射摄影术 踝关节/外科学 

分 类 号：R687.4[医药卫生—骨科学] R323.72[医药卫生—外科学]