踝关节骨折的Lauge-Hansen分型.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。;Supination-Eversion (External -Rotation) (SER)旋后-外翻（外旋） *Disruption of the anterior tibiofibular ligament 下胫腓前韧带断裂? *Spiral oblique fracture of the distal fibula?? 腓骨远端螺旋型骨折 *Disruption of the posterior tibiofibular ligament or fracture of the posterior malleolus?? 下胫腓后韧带断裂或后踝骨折 *Fracture of the medial malleolus or rupture of the deltoid ligament 内踝骨折或三角韧带撕裂 ;Pronation-Abduction (PA) 旋前-外展 *Transverse fracture of the medial malleolus or rupture of the deltoid ligament? ? 内踝横行骨折或三角韧带撕裂 *Rupture of the syndesmotic ligaments or avulsion fracture of their insertions?? 下胫腓韧带联合撕裂或止点骨折 *Short, horizontal, oblique fracture of the fibula above the level of the joint. 高位短斜形或水平腓骨骨折;Pronation-Eversion (External Rotation) (PER) 旋前-外翻（外旋）?? *Transverse fracture of the medial malleolus or disruption of the deltoid ligament?? 内踝横行骨折或三角韧带撕裂 *Disruption of the anterior tibiofibular ligament? 下胫腓前韧带撕裂? *Short oblique fracture of the fibula above the level of the joint? 高位腓骨短斜形骨折 *Rupture of posterior tibiofibular ligament or avulsion fracture of the posterolateral tibia 下胫腓后韧带断裂或后外踝骨折 ;;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 talu