踝

There is a good correlation between the ABI and the lower limb Color Dopper flow imaging, and the measuring instrument of ankle brachial index can be used not only in the consulting room but also in the large-scale screening. After treatment with Buflomedil, there is more improvement in the clinical symptoms and the related indexes in the Group B with an obvious increase in the ABI compared with Group A.

ABI与下肢血管彩超对比相关性好，踝肱指数测量仪既可在诊室中使用，也适用于大规模人群的筛查；应用盐酸丁咯地尔后，临床症状及相关指标均显著优于对照组，ABI明显升高。

Their feet have extremely elongated tarsus bones, which is how they got their name.

它们的脚长到踝骨处，这也是它们得名的原因。

Method］reversed sural neurofasciocutaneous flap with muscle was applied for repairing the soft tissue defect simultaneous open fracture of tibia lower section 6 cases,the soft tissue defect simultaneous chronic osteomyelitis of tibia lower section 5 case,the soft tissue defect of sole of foot simultaneous calcaneus epicarp 3 case, the soft tissue defect of sole of foot simultaneous calcaneus osteomyelitis or dead space 2 case. the scope of the flap was 18 c m×13 cm～11 c m×7 c m and that of the gastrocnemius flap was 4 cm×3 cm～9 c m×6 cm,the thickness was 1～3 cm,the skin flap was bigger than the muscle flap.

方法］自2004年6月以来，应用带肌肉的腓动脉穿支蒂腓肠神经营养血管皮瓣修复小腿下段及足踝部软组织缺损16例，其中胫骨下段开放性骨折伴软组织缺损6例，胫骨下段软组织缺损伴慢性骨髓炎5例，足后跟足底软组织缺损伴跟骨表层组织缺损3例，跟骨骨髓炎伴窦道2例，皮瓣面积30 cm×10 cm～6 cm× 4.5cm，切取的腓肠肌瓣面积4 cm×3 cm～9 cm×6 cm，肌肉厚度1～3 cm，皮瓣面积比肌瓣的面积要大。

Repeated forceful contractions of wrist extensors or forearm supinator result in tensile stress over the lateral epicondyle. The repeated forces are due to (1) inadequate muscle strength, power, endurance, and flexibility of the forearm muscles,(2) inadequate techniques of tennis playing, and (3) inadequate equipments.

其受伤机制为过度强烈或反覆太多的腕伸肌及外旋肌收缩造成对肘外踝的张应力；而(1)肌肉的肌力、爆发力、持久力、柔软度不足(2)不适当的系球技巧(3)不适当的器材等都是使外髁张压力增加的原因。

MethodsThirty cases with diabetic peripheral neuropathy underwent surgical decompression on inner malleolus tube nervus tibialis and the branch, knee lateral nervus peronaeus tube common peroneal nerve, musculocutaneous nerve of dorsum pedis in both lower limbs, so as to decompress the nerves, epineurium and bundle membrane.

方法对30例糖尿病周围神经病人进行双下肢神经松解，在显微镜下分别在内踝管胫神经及其分支、膝外侧腓神经管腓总神经、足背腓深神经处在显微外科技术微创手术下分别减压神经受压及神经外膜、束膜切开松解。

From March 1998 to May 2003,32 patients with soft tissue defects around the heel,malleolus,achilles tendon and the low 1/3 part of anterior tibial were reconstructed by use of reversed sural neurovascular fascio -cutaneous island flap,including 20 cases of traumatic defects,8 cases of chronic ulcer and 4 cases of scar tissue.

对32例小腿下段及足踝部软组织缺损的病例，采用带腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复，其中创伤致软组织缺损20例，慢性溃疡8例，瘢痕切除术后4例。

Methods From March 1998 to May 2003,32 patients with soft tissue defects around the heel,malleolus,achilles tendon and the low 1/3 part of anterior tibial were reconstructed by use of reversed sural neurovascular fascio -cutaneous island flap,including 20 cases of traumatic defects,8 cases of chronic ulcer and 4 cases of scar tissue.

对32例小腿下段及足踝部软组织缺损的病例，采用带腓肠神经营养血管蒂逆行岛状筋膜皮瓣修复，其中创伤致软组织缺损20例，慢性溃疡8例，瘢痕切除术后4例。

The traveller had travelled far, and his feet were footsore , and his ankles chafed and bleeding

旅客走了许多地方，脚已磨破，足踝上有伤，流着血

And taking him by the right hand, he lifted him up, and forthwith his feet and soles received strength.

於是握住他的右手，拉他起来；他的脚和踝骨就立即强壮了。

Anatomical study proved:①.4~8 nutritional vessels of sural nerve –small saphenous vein were the intermuscular perforators of peroneal artery, the furthermost one located at(1.0±1.3)cm above the tip of external malleolus with diameter (0.6±0.2)mm;②.2~6 musculocutaneous perforators were given off by the artery of outer head of gastrocnemius muscle to supply nutrition to the sural nerve-small saphenous vein;③.intermuscular perforators from peroneal artery supplied blood to fibula and outer head of soleus muscle.the perforators with an average outer diameter of （1.3-1.6）cm gave off cutaneous branch ,fascial branch and nutritional vessels to the sural nerve-small saphenous vein,which formed the vessel chain of the sural nerve-small saphenous vein ,sub-fascial and suprafascial vessel net.

结果：1、解剖实验证实：①、腓肠神经-小隐静脉营养血管来自腓动脉肌间隔穿支4～8支，最远的跟外侧动脉穿支距外踝尖上(1.0±1.3)cm，外径(0.6±0.2)mm。②、腓肠肌外侧头动脉沿途发2-6支的肌皮穿支营养腓肠神经-小隐静脉。③、腓动脉肌间隔穿支营养腓骨、比目鱼肌外侧半。上述穿皮支平均外径在0.3～1.6mm，发出皮支、筋膜支、腓肠神经-小隐静脉营养血管，形成腓肠神经-小隐静脉血管链以及深、浅筋膜血管网。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失