Lauge-Hansen健康检查和与Danis-Webe健康检查和为最常见的踝肌肉右腿健康检查和，在对下肩胛骨罗尼罗尼骨损坏的指导意义上，旋后外旋II°右腿一般而言认为分拆下肩胛骨罗尼前罗尼骨的损坏，下肩胛骨罗尼倡议趋于稳定，似乎无须要下肩胛骨罗尼倡议螺钉互换。而Danis-Weber B型式右腿度量为右腿位西北侧下肩胛骨罗尼倡议水平，似乎分拆下肩胛骨罗尼倡议损坏。
由此可发现，对Danis-Weber B型式右腿，如何评估下肩胛骨罗尼有无损坏，以及术前评估是否须要手术后互换下肩胛骨罗尼倡议，仍无必须要概要。
对此，欧美学者学术研究了Danis-Weber B型式近口右腿直通的位置，以求对比相同类型式B型式右腿下肩胛骨罗尼倡议损坏比同上是否存在差异，并指导手术后干预。
Objective（旨在）验证术前X直通健康检查能否预测下肩胛骨罗尼倡议损坏几率。[Objective: To establish if preoperative radiographs could predict the rate of syndesmotic injury.]
Patients/participants（传染病）回顾了548同上 OTA/AO 44-B2.1型式病变，287同上病变划定学术研究。[Patients/participants: There were 548 OTA/AO 44-B2.1 fractures that were reviewed, and 287 patients were included in the study.]图1 传染病划定流程。
Main outcome measures（主要结尾举同上来说）踝肌肉图像片应用于说明近口右腿块的远口范围。下肩胛骨罗尼倡议损坏度量为术中所压力试验得出结论并须要要下肩胛骨罗尼互换。
[Main outcome measures: Ankle radiographs were used to determine the zone of distal extent of the proximal fracture fragment. Syndesmotic injury was defined as positive intraoperative stress examination that required syndesmotic fixation.]图2 Danis-Weber B型式右腿，根据近口右腿块之遥口位置分七区。1七区度量为右腿块之遥口位西北侧肩胛骨骨远口肌肉面平面以下；2七区为位西北侧肩胛骨骨远口骺直通的环瘢痕与远口肌肉面中所间；3七区为骺直通的环瘢痕以上。
图3 分七区图同上。
Results（结果）共有191同上1七区(为时于肩胛骨骨远口肌肉平面上端)损坏，57西北侧2七区(为时于肩胛骨骨远口骨骺直通的环瘢痕和肩胛骨骨远口肌肉面中所间)损坏，39西北侧3七区(为时于肩胛骨骨远口骨骺直通的环瘢痕以上)损坏。其中所，17% (33名病变)的1七区、42% (24名病变)的2七区和74% (29名病变)的3七区右腿分拆下肩胛骨罗尼罗尼骨损坏。
2七区与1七区来得，罗尼骨倡议损坏的相对风险为2.4 (P，0.001)，3七区与1七区来得为4.3 (P，0.001)，3七区与2七区来得为1.8 (P = 0.002)。观察者间和观察者内的可靠性更加好(k = 0.86，0.94)。
[Results: There were 191 zone 1 (ending below the plafond) injuries, 57 zone 2 (ending between the physeal scar and the plafond) injuries, and 39 zone 3 (ending above the physeal scar) injuries. Of these, 17% (33 patients) of zone 1, 42% (24) of zone 2, and 74% (29) of zone 3 fractures had syndesmotic injuries. The relative risk of syndesmotic injury of zone 1 compared with zone 2 was 2.4 (P , 0.001), zone 1 to zone 3 was 4.3 (P , 0.001), and zone 2 to zone 3 was 1.8 (P = 0.002). The interobserver and intraobserver reliability was excellent (k = 0.86, 0.94).]
同上1 第三组病变下肩胛骨罗尼倡议损坏引发率。Conclusion（论点）OTA/AO 44-B2.1右腿具有相同的下肩胛骨罗尼倡议损坏率。Weber B型式右腿引发在肩胛骨骨远口肌肉平面和骺直通的环疤痕中所间(2七区)，与引发在肌肉面上端(1七区)的右腿来得，引发罗尼骨损坏的似乎性高2.4倍。这种似乎性在骺直通的环疤痕上方(3七区)的损坏中所更大。
OTA/AO 44-B2.1右腿的有用分类无疑着罗尼骨损坏，似乎有助于术前讨论和手术后计划规章。
[Conclusion: OTA/AO 44-B2.1 fractures he a varying rate of syndesmotic injury. Weber B fractures that end between the level of the plafond and the physeal scar (zone 2) are 2.4 times more likely to he a syndesmotic injury compared with those that end below the plafond (zone 1). This is magnified in those injuries ending above the scar (zone 3). This simple classification of OTA/AO 44-B2.1 fractures is predictive of syndesmotic injury and may aid in preoperative counseling and planning.]相关新闻
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