수술 중 부하 영상을 이용한 원위 경비 관절 손상 진단 방법의 평가
Evaluation of Intraoperative Stress Radiologic Tests for Syndesmotic Injuries
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Purpose: To report the effectiveness of adding distal fibular external rotation stress test on the traditional lateral stress Cotton test in evaluating distal tibiofibular syndesmotic injuries. Materials and Methods: We evaluated syndesmotic injuries with intraoperative stress test during treating ankle fractures from March 2009 to September 2010. External rotation of distal fibula using small elevator was added on traditional stress test in case of suspicious syndesmotic injury. We retrospectively reviewed and compared the results of each test in 44 cases for which we tried both tests. Results: In 9 cases of positive traditional lateral stress tests, positive results were obtained in all cases by additional external rotation tests. In 21 cases of negative traditional stress tests, additional stress tests results were also negative. But there were 10 cases of positive additional tests and 4 of negative additional tests in equivocal results cases by the traditional stress tests. Conclusion: Using additional external rotation stress test in case of equivocal test result by the traditional lateral stress Cotton test for evaluation of syndesmotic injury during operation for ankle fracture can be a supplemental method to clarify syndesmotic injury needs fixation.
Abstract
Purpose: To report the effectiveness of adding distal fibular external rotation stress test on the traditional lateral stress Cotton test in evaluating distal tibiofibular syndesmotic injuries. Materials and Methods: We evaluated syndesmotic injuries with intraoperative stress test during treating ankle fractures from March 2009 to September 2010. External rotation of distal fibula using small elevator was added on traditional stress test in case of suspicious syndesmotic injury. We retrospectively reviewed and compared the results of each test in 44 cases for which we tried both tests. Results: In 9 cases of positive traditional lateral stress tests, positive results were obtained in all cases by additional external rotation tests. In 21 cases of negative traditional stress tests, additional stress tests results were also negative. But there were 10 cases of positive additional tests and 4 of negative additional tests in equivocal results cases by the traditional stress tests. Conclusion: Using additional external rotation stress test in case of equivocal test result by the traditional lateral stress Cotton test for evaluation of syndesmotic injury during operation for ankle fracture can be a supplemental method to clarify syndesmotic injury needs fixation.
참고문헌 (11)
- Rammelt S, "Injuries to the distal tibiofibular syndesmosis: an evidence-based approach to acute and chronic lesions", Foot Ankle Clin, 13, pp.611~633 (2008)
- Amendola A, "Controversies in diagnosis and management of syndesmosis injuries of the ankle", Foot Ankle, 13, pp.44~50 (1992)
- Joy G, "Precise evaluation of the reduction of severe ankle fractures", J Bone Joint Surg Am, 56, pp.979~993 (1974)
- Pettrone FA, "Quantitative criteria for prediction of the results after displaced fracture of the ankle", J Bone Joint Surg Am, 65, pp.667~677 (1983)
- Sarkisian JS, "Closed treatment of ankle fractures: A new criteria for evaluation-A review of 250 cases", J Trauma, 16, pp.323~326 (1976)
- Stoffel K, "Comparison of two intra operative assessment methods for injuries to the ankle syndesmosis. A cadaveric study", J Bone Joint Surg Am, 91, pp.2646~2652 (2009)
- Lauge-Hansen N, "Combined experimental surgical and experimental-roentgenologic investigation", Arch Surg, 60, pp.957~985 (1950)
- Ogilvie-Harris DJ, "Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery", Arthroscopy, 10, pp.561~568 (1994)
- Mizel MS, "Technique tip: a revised method of the Cotton test for intra-operative evaluation of syndesmotic injuries", Foot Ankle Int, 24, pp.86~87 (2003)
- Jahss MH, "Clinical significance of magnetic resonance imaging of the ankle and foot", Magn Reson Imaging Clin N Am, 2, pp.29~38 (1994)
- Kerr R, "Magnetic resonance imaging of foot and ankle trauma", Orthop Clin North Am, 21, pp.591~601 (1990)