Chuo Chin-Yi, Lu Cheng-Chang, Liu Ping-Cheng, Shen Wun-Jer
Department of Orthopedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2005 Jan;21(1):40-3. doi: 10.1016/S1607-551X(09)70275-X.
Anterior subtalar dislocations are extremely rare. To our knowledge, six cases have been reported in detail in the literature, but for only two of these was an anteroposterior view radiograph used to confirm the diagnosis. We report a case of anterior subtalar dislocation in which the posterior tibialis tendon was incarcerated in the talonavicular joint and that required an open reduction. We discuss the diagnosis, mechanism, and treatment.
距下关节前脱位极为罕见。据我们所知,文献中已详细报道了6例,但其中仅有2例使用前后位X线片来确诊。我们报告1例距下关节前脱位病例,该病例中胫后肌腱嵌顿于距舟关节,需要进行切开复位。我们对诊断、机制及治疗进行了讨论。