踝关节

The distal tibiofibular syndesmosis is an important structure to keep the stability of the ankle articulation.

下胫腓联合是维持踝关节稳定的重要结构，其损伤是一种比较常见的运动损伤，容易造成踝关节慢性不稳定、长期疼痛和创伤性关节炎等后遗症。

This study sought to determine the effect of the number of cortices of screw purchase and ankle position on syndesmosis width and tibiotalar rotation in Weber C ankle fracture fixation.

本研究将探索在Weber C型踝关节骨折固定中，螺钉固定骨皮质数目及踝关节位置对于下胫腓联合宽度和胫距旋转的影响。

Begin the incision oer the anterolateral aspect of the leg medial to the fibula and 5 cm proximal to the ankle joint. Carry it distally oer the joint, the anterolateral aspect of the body of the talus, and the calcaneocuboid joint and end it at the base of the fourth metatarsal Fig.

切口起自腓骨内侧、踝关节近端5cm处的小腿前外侧面，向远端延长跨过踝关节、距骨体前外侧以及跟骰关节，终于第四跖骨基底部(图1-28A)。

Results ①MRI had a very high sensitivity of 91% to the injuries of anterior talofibular ligament, but a relatively low sensitivity of 50%-75% to calcaneofibular ligament injuries.

方法回顾性分析经证实的78例踝关节MR 图像，重点评价踝关节MRI对外侧副韧带、距骨软骨、肌腱以及滑膜病变的诊断能力。

In addition to Blair's original description for comminuted fractures and fracture dislocation of the body of the talus, it also provided a functional and durable ankle joint in various lesions of the ankles.关键词, osteoarthritis , tuberculosis , rheumatoid arthritis , equinus deformity

我们的结论是：除了贝尔氏本人初期所提出的运用於距骨粉碎性骨折及骨折性脱臼外，贝尔氏踝关节固定术亦可运用於各种不同的适应病，而且可以得到一个有功能的且可以持久使用的踝关节。

Objective: The observation Chinese native medicine different dosage-form the effect which sprains to the acute malleolus joint.

中药不同剂型外用治疗急性踝关节扭伤的疗效观察目的：观察中药不同剂型对急性踝关节扭伤的效果。

Method］from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法］2003年1月～2006年5月，根据ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

At an average follow-up of 34.3 months, using the Sports Ankle Rating System, the average clinical rating score was 96.2, the average quality-of-life measure was 96.7, and the average single assessment numeric evaluation was 95.3. Radiographs at final follow-up showed no mortise widening or lateral talar subluxation. Two patients had mild degenerative changes on lateral radiographs with anterior tibial osteophytes.

在平均34.3个月的随访中，用踝关节运动评估系统评分的平均得分是96.2，生活质量平均分是96.7，平均单个数字评估得分是95.3，在随访最后的X线片示没有踝关节关节间隙的变宽以及距骨的侧向半脱位。2个病人出现稍微的退行性变及胫骨前骨赘。

These data are used to identify skeletal correlates of climbing in the ankle joint of the African apes to more accurately interpret hominin distal tibiae and tali.

该作者把重点放在了踝关节上，利用这些录像确定了背屈角（背屈是指踝关节转动从而让脚趾指向上方）。

After dividing the talofibular ligaments, dislocate the ankle by medial traction if access to its entire articular surface is desired.

在切口远端与距舟关节相同水平处可以显露跟骰关节，如果需要显露全部踝关节面，可在切断距腓韧带后，向内侧牵引使踝关节脱位。

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