대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제15권1호
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  • Pages.22-26
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  • 2011
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지

수술 중 부하 영상을 이용한 원위 경비 관절 손상 진단 방법의 평가

Evaluation of Intraoperative Stress Radiologic Tests for Syndesmotic Injuries

  • 배서영 (인제대학교 의과대학 상계백병원 정형외과 족부.족관절 센터) ;
  • 정형진 (인제대학교 의과대학 상계백병원 정형외과 족부.족관절 센터) ;
  • 오수찬 (인제대학교 의과대학 상계백병원 정형외과 족부.족관절 센터)
  • Bae, Su-Young (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Chung, Hyung-Jin (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Oh, Su-Chan (Foot and Ankle Center, Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 투고 : 2011.01.25
  • 심사 : 2011.02.22
  • 발행 : 2011.03.15
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초록

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.

키워드

참고문헌

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