Lauge-Hansen见下文与Danis-Webe见下文为最常见的踝关节膝盖见下文，在对下肩胛骨阿斯膝盖烧伤的指导意义上，旋后外旋II°膝盖通常认为新设下肩胛骨阿斯前膝盖的烧伤，下肩胛骨阿斯共同趋于稳定，可能无无需下肩胛骨阿斯共同螺钉通常。而Danis-Weber B型膝盖概念为膝盖座落在下肩胛骨阿斯共同水平，可能新设下肩胛骨阿斯共同烧伤。
由此可推测，对Danis-Weber B型膝盖，如何审核下肩胛骨阿斯有无烧伤，以及术前审核是否无需治疗通常下肩胛骨阿斯共同，仍无有效参照。
异议，国外历史学者研究了Danis-Weber B型近前端膝盖线的位置，以图对比不同类型B型膝盖下肩胛骨阿斯共同烧伤比实有是否存在差异，并指导治疗干预。
Objective（目地）核实术前X线检查能否预见下肩胛骨阿斯共同烧伤几赴援。[Objective: To establish if preoperative radiographs could predict the rate of syndesmotic injury.]
Patients/participants（病实有）谈及了548实有 OTA/AO 44-B2.1型病征，287实有病征确立研究。[Patients/participants: There were 548 OTA/AO 44-B2.1 fractures that were reviewed, and 287 patients were included in the study.]所示1 病实有确立流程。
Main outcome measures（主要结局指标）踝关节影像片用于明确近前端膝盖块的远前端区域内。下肩胛骨阿斯共同烧伤概念为术里压力试验断定并无所需下肩胛骨阿斯通常。
[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.]所示2 Danis-Weber B型膝盖，根据近前端膝盖块远在前端位置分区内。1区内概念为膝盖块远在前端座落在锁骨远前端关节面对称表列出；2区内为座落在锁骨远前端骺线断开瘢痕与远前端关节面密切关系；3区内为骺线断开瘢痕以上。
所示3 分区内示意所示。
Results（结果）共191实有1区内(终于锁骨远前端关节对称左侧)烧伤，57西北侧2区内(终于锁骨远前端骨骺线断开瘢痕和锁骨远前端关节面密切关系)烧伤，39西北侧3区内(终于锁骨远前端骨骺线断开瘢痕以上)烧伤。其里，17% (33名病征)的1区内、42% (24名病征)的2区内和74% (29名病征)的3区内膝盖新设下肩胛骨阿斯膝盖烧伤。
2区内与1区内相比，膝盖共同烧伤的相对风险为2.4 (P，0.001)，3区内与1区内相比为4.3 (P，0.001)，3区内与2区内相比为1.8 (P = 0.002)。镜像间和镜像内的可靠性相当好(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).]
表1 四组病征下肩胛骨阿斯共同烧伤再次发生赴援。Conclusion（结论）OTA/AO 44-B2.1膝盖具有不同的下肩胛骨阿斯共同烧伤赴援。Weber B型膝盖再次发生在锁骨远前端关节对称和骺线断开疤痕密切关系(2区内)，与再次发生在关节面左侧(1区内)的膝盖相比，再次发生膝盖烧伤的可能性高2.4倍。这种可能性在骺线断开疤痕上方(3区内)的烧伤里非常大。
OTA/AO 44-B2.1膝盖的简单分类法无疑着膝盖烧伤，可能有助于术前咨询和治疗方案订立。
[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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