THE DIAGNOSIS OF THE RUPTURE OF THE LATERAL LIGAMENT OF THE ANKLE -THE EXPERIMENTAL INVESTIGATION AND CLINICAL OBSERVATION OF "THE ANTERIOR DRAWER TEST
- VernacularTitle:踝关节外侧副韧带断裂的X线平片诊断前抽屉试验的实验研究和临床观察
- Author:
Zhongnan OUYANG
- Publication Type:Journal Article
- From:
Academic Journal of Second Military Medical University
1983;0(S1):-
- CountryChina
- Language:Chinese
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Abstract:
The diagnosis of the rupture of the fibular collateral ligament of the ankle following varus injury can be made by inversion test film and anterior drawer test which s similar to the examination of the instability of the anterior cruciate ligament at at the knee.In order to evaluate the value of the anterior drawer test for the diagnosis of this lesion, the radiological evidences of the anterior and varus stress viewa were observed by dividing different fasciulus of the lateral ligament in 21 fresh cadaveric and amputated ankles.The effects of the applied weight and plantar flexion and the muscular tension of the lower leg on the antrior Subluxation of the talus i.e. positve anterior drawer sign were investigated.The clinical assessments were then made in 20 injuried ankles of 20 patients who were suffered from varus sprains.All injuried ankles of these patients were treated by surgery and the ligmentous injuries were verified. Then a comparision was made between the two stress views obtained before operation. The positive anterior drawer sign was demonstrated to be more common than varus tilt of the talus.Therefore, it is suggested that the antrior drawer test is very valuble in the diagnosis of the rupture of the anterior talofibular ligament.In this article the various factors which influenced the measured value of the anterior drawer test were discussed and the method of the examination and the diagnostic criteria were proposed.
