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Deltoid ligament injury

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Triangular ligament injury: The tibiofibular fracture is located at the level of the lower tibiofibular ligament, which may be associated with avulsion fracture or deltoid ligament injury; the posterior margin of the tibia may be complete or show a triangular bone avulsed by the posterior iliac ligament.

Cause

Cause

Most of the disease is caused by direct violence. Direct violence is often caused by crushing, colliding, and hitting. The fracture line is transverse or crushed. Sometimes the two calves are broken in the same plane, and soft tissue damage is often serious, which is easy to cause open fracture. Sometimes the skin is not broken, but the contusion is serious, and the secondary necrosis occurs due to poor blood circulation, causing bone exposure and infection to become osteomyelitis. Indirect violence is often seen as a fracture caused by a spoiled or slipped spike in a high position; the fracture line is often oblique or spiral, and the humerus and the humerus are not in the same plane.

Examine

an examination

Related inspection

Skeletal palpation skeletal motion X-ray lipiodol angiography

First, clinical manifestations:

Local pain, swelling, and deformity are more pronounced, showing angular and overlapping shifts. Attention should be paid to the presence of common peroneal nerve injury, anterior and posterior tibial arterial injury, and increased tension in the anterior tibial region and the gastrocnemius muscle region. Often the complications caused by fractures are more severe in the fracture itself.

Second, the diagnosis:

Because the position of the humerus is superficial, the general diagnosis is not difficult, and the displaced bone end can often be removed in the painful or swollen part. It is important to detect the injury of the arteries and veins and the common peroneal nerve before and after the fracture. The pulsation of the dorsal artery of the foot, the feeling of the foot, the ankle joint and the dorsiflexion of the big toe should be recorded as a routine record. For crush injuries, open fractures, and those who have had a long time to stop the blood band and the dressing is too tight, pay special attention to observe whether the injured limb has progressive swelling, especially in muscles. If skin tension, radiance, coldness, blisters, muscles are hard, the dorsal artery of the foot does not come out, the color of the limb is cyanosis or pale, it is the manifestation of fascial compartment syndrome. It should be urgently handled in time.

A tibiofibular fracture located at the level of the lower tibiofibular ligament may be associated with an avulsion fracture or a triangular ligament injury; the posterior margin of the humerus may be intact or show a triangular bone avulsed by the posterior tibiofibular ligament.

Diagnosis

Differential diagnosis

Ligament rupture: In life, common human ligament injuries are common in the ankle, knee, palm, and knuckles. Ligament rupture is generally caused by movements that extend beyond the range of motion of the joint during activity, causing the relevant ligaments to be pulled passively and causing tearing or complete rupture. Ligament ruptures are often accompanied by sprains and fractures. The ligament should be diagnosed and treated promptly after injury. Immediately after the injury, the brakes should be taken, local cooling should be used to delay and reduce swelling and bleeding, and pain relief, and then go to the hospital in time.

Local swelling, pain, tenderness after ligament injury, and visible cyanosis in subcutaneous hemorrhage. Correct handling of joint ligament sprains early is very important. Because the ligament tissue is not easy to regenerate and recover, if it is handled improperly or misdiagnosed and turned into a chronic disease, dysfunction may be left behind, and it is easy to be damaged again in the future.