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Titre : | Ligament Ruptures in Ankle Fractures?Was Lauge-Hansen Right? : Complexities Involving the Ankle Sprain (2023) |
Auteurs : | Stefan Rammelt ; Andrzej Boszczyk |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 28, n° 2, Juin 2023) |
Article en page(s) : | p. 445-461 |
Note générale : | https://doi.org/10.1016/j.fcl.2023.01.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Articulation talocrurale ; Cheville ; Fracture ; Fractures de la cheville ; Ligament latéral de la cheville |
Note de contenu : |
The contribution of Lauge-Hansen to the understanding and treatment of ankle fractures cannot be underestimated, an unquestionable merit being the analysis of the ligamentous component of these injuries that are considered as equivalent to the respective malleolar fractures.
When revisiting the Lauge-Hansen experiments, biomechanical and observational studies suggest that a substantial amount of fracture patterns regarded as supination-external rotation injuries were, in fact, produced by a pronation force. In numerous clinical and biomechanical studies, the lateral ankle ligaments are ruptured either together with or instead of the syndesmotic ligaments, as predicted by the Lauge-Hansen stages. The differences between the Lauge-Hansen and current experiments as well as the variable patterns of purely ligamentous and bony components in ankle factures may be explained partly by the individual bone quality resulting in a variable morphology of malleolar fractures through a similar mechanism of injury. A ligament-based view on malleolar fractures may deepen the understanding of the mechanism of injury and lead to a stability-based evaluation and treatment of the 4 osteoligamentous pillars (malleoli) at the ankle. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751523000190 |