踝关节骨折的LaugeHansen分型课件.ppt

踝关节骨折的Lauge-Hansen分型 旋前 旋后 内收 外展 外旋 Supination-Adduction (SA) 旋后-内收*Transverse avulsion-type fracture of the  fibula below the level of the joint or tear of the lateral collateral ligaments?.?腓骨下端横行撕脱骨折或外侧副韧带撕裂。*Vertical fracture of the medial malleolus.内踝垂直骨折线。 Campbells operative orthopaedics 11th FIGURE 53-8 Schematic diagram and case examples of Lauge-Hansen pronation-external rotation and pronation-abduction ankle fractures. A. A pronated foot sustains either an external rotation or abduction force and creates the successive stages of injury shown in the diagram. The pronation-external rotation mechanism has four stages of injury, and the pronation-abduction mechanism has three stages. B. An anteroposterior x-ray of the ankle and tibia and fibula demonstrate a high fibula fracture. C. External rotation stress shows lateral displacement of the talus and widening of the distal syndesmosis. These x-rays are characteristic of a pronation-external rotation injury. D. An anteroposterior x-ray of a typical pronation-abduction ankle fracture. The fibula is laterally comminuted. Figure 59-22? Supination-adduction injury pathology. The first stage is lateral failure of either the malleolus or the collateral ligament. The second stage is a vertical fracture of the medial malleolus, which maybe associated with medial plafond impaction, as shown here. Figure 59-25 Supination-external rotation injury pathology. The first stage is failure of the anterior inferior tibiofibular ligament (AITFL). The second stage is a spiral lateral malleolar fracture at the level of the plafond. The third stage is posterior inferior tibiofibular ligament (PITFL) failure. The fourth stage is medial failure of either malleolus or the deltoid ligament. Figure 59-27 Pronation-abduction injury pathology. The first stage is medial failure of either malleolus or the deltoid ligament. The second stage is syndesmosis (anterior inferior tibiofibular ligament and poster