Medial Ankle Instability The Deltoid Dilemma

被引:33
作者
Alshalawi, Saud [1 ]
Galhoum, Ahmed E. [2 ]
Alrashidi, Yousef [3 ]
Wiewiorski, Martin [4 ]
Herrera, Mario [5 ]
Barg, Alexej [6 ]
Valderrabano, Victor [7 ]
机构
[1] Prince Sultan Mil Med City, POB 13225-6604, Riyadh 12233, Saudi Arabia
[2] Nasser Inst Res & Treatment, Dept Orthoped, Nile Corniche St, Cairo 1351, Egypt
[3] Taibah Univ, Coll Med, Orthopaed Dept, POB 30001, Medina 42353, Saudi Arabia
[4] Kantonsspital Winterthur, Head Foot & Ankle Unit, Orthopaed & Trauma Dept, CH-8401 Winterthur, Switzerland
[5] Univ La Laguna, Head Foot & Ankle Unit, Orthopaed Dept, Tenerife 38200, Spain
[6] Univ Utah, Dept Orthopaed, 590 Wakara Way, Salt Lake City, UT 84108 USA
[7] Schmerzklin Basel, Orthopaed Dept, Swiss Ortho Ctr, Swiss Med Network, Hirschgasslein 15, CH-4010 Basel, Switzerland
关键词
Deltoid ligament; Medial ankle instability; Ankle instability; Ankle sprain; Spring ligament; LIGAMENT INJURY; TIBIOFIBULAR SYNDESMOSIS; FUNCTIONAL INSTABILITY; OSTEOCHONDRAL LESIONS; MALLEOLAR FRACTURES; RECONSTRUCTION; ROTATION; RUPTURE; SPRAINS; ULTRASONOGRAPHY;
D O I
10.1016/j.fcl.2018.07.008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Diagnosis and treatment of medial ankle instability (MAI) are still controversial and poorly discussed in literature. The purpose of this review is to highlight different clinical presentations of MAI and develop a guide for its management. The deltoid ligament complex is injured more commonly than expected, because deltoid ligament injuries may either be isolated or occur in combination with other lesions, such as lateral ankle ligament injury, posterior tibial tendon insufficiency, osteochondral lesion, and others. The presence of a pes planovalgus deformity in a patient without posterior tibial tendon insufficiency may indicate MAI.
引用
收藏
页码:639 / +
页数:20
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