特殊命名的踝关节骨折及其诊疗要点  

The special named ankle fractures:the diagnosis and treatment

作　　者：李亚星[1,3] 任毅[1,2] 唐霞 陈宇 吴仕舟[1,3] 邓伟 朱赟[2] 黄富国[2] 张晖[2] Li Yaxing;Ren Yi;Tang Xia;Chen Yu;Wu Shizhou;Deng Wei;Zhu Yun;Huang Fuguo;Zhang Hui(West China School of Medicine,Sichuan University,Chengdu 610041,China;Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China;Disaster Medical Center,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西临床医学院,成都610041 [2]四川大学华西医院骨科,成都610041 [3]四川大学灾难医学中心,成都610041

出　　处：《中华骨科杂志》2019年第21期1344-1356,共13页Chinese Journal of Orthopaedics

摘　　要：历史上,由于踝关节复杂的解剖结构加上多样的损伤机制,踝部骨折或损伤具有较为复杂的命名和分类。尤其是在踝关节骨折系统分类出现和不断完善之前,踝部骨折多以损伤部位、数目和人名进行区分,且至今仍广泛存在于医学文献、教科书,甚至是大众传媒中。从现在来看,很多特殊命名的踝关节骨折均可以通过踝关节骨折Lauge-Hansen分型来解释,大多数踝关节骨折的特殊命名已无多大实际用处,但鉴于对先贤的缅怀,以及为纠正踝关节特殊名称的错误使用,仍有必要对此进行总结与回顾。回顾常见和不常见特殊命名的踝关节骨折,着重以其简单的影像学特征来鉴别和区分这些损伤,并综述不同骨折的致伤机制、严重并发症、诊断及治疗方式。Due to the complex anatomical structure of ankle and the various mechanisms of ankle injury,manyeponyms and systematic classifications of ankle fracture have been developed in the past centuries.Before the emergence and constant improvement of classifications of ankle fracture,ankle fractures were most commonly named afterthe physicians who first described them.Now,these ankle fracture eponyms are still found in medical literature,textbooks and even mass media.Many special named ankle fractures can be explained by the Lauge-Hansen classification now,and they may have little practical use.However,it is still necessary to summarize and review these ankle fracture eponyms,in order to correct the wrong usage of these and to remember the sages in this field.We reviewed both common and less frequently used ankle fracture eponyms,focusing on imaging features to identify and differentiate these injuries.We also briefly reviewed the mechanism of each injury,associated complications,its diagnosis and treatment.

关 键 词：踝关节骨折 踝部骨折 致伤机制 诊疗要点 医学文献 影像学特征 损伤机制 损伤部位 

分 类 号：R68[医药卫生—骨科学]