De Yoe B E, Ng A, Miller B, Rockett M S
Harris County Podiatric Surgical Residency Program, Houston, TX 77082, USA.
J Foot Ankle Surg. 1999 Sep-Oct;38(5):359-62. doi: 10.1016/s1067-2516(99)80008-8.
The authors present a patient with a history of chronic lateral ankle instability and pain. Physical and diagnostic evaluation revealed anterior ankle instability and peroneus brevis weakness. An MRI showed an attenuated anterior-talofibular ligament and a longitudinal tear of the peroneus brevis tendon. Surgical exploration exhibited tophaceous gout within the tear of the peroneus brevis as well as within the attenuated anterior-talofibular ligament. Presented is an unusual case of a longitudinal tear of the peroneus brevis tendon with tophaceous gout infiltration.
作者报告了一名有慢性外侧踝关节不稳定和疼痛病史的患者。体格检查和诊断评估显示踝关节前方不稳定和腓骨短肌无力。磁共振成像(MRI)显示距腓前韧带变薄以及腓骨短肌腱纵向撕裂。手术探查发现腓骨短肌腱撕裂处以及变薄的距腓前韧带内有痛风石。本文展示了一例伴有痛风石浸润的腓骨短肌腱纵向撕裂的罕见病例。