Zelent Marek E, Neese David J
Podiatric Surgical Residency, Mercy Hospital, 4050 Coon Rapids Boulevard, Coon Rapids, MN 55433, USA.
J Am Podiatr Med Assoc. 2006 May-Jun;96(3):256-9. doi: 10.7547/0960256.
We describe a man with an acute osteochondral defect in the lateral talar dome associated with a supination-adduction-type ankle fracture. The osteochondral defect was readily visible on plain film radiographs, and magnetic resonance imaging was ordered to determine the full extent of soft-tissue and articular injury. It was discovered that the patient had a stage IV lesion of the talar dome, with complete inversion of the fragment, and rupture of the anterior talofibular and calcaneofibular lateral ankle ligaments. Furthermore, the patient experienced an oblique fracture of the medial malleolus with comminution. The talar dome lesion was surgically reduced and fixated using bioabsorbable pins. Nine months after surgery, the patient was fully recovered from his injury and had no functional limitations.
我们描述了一名男性，其距骨外侧穹窿存在急性骨软骨缺损，伴有旋后 - 内收型踝关节骨折。该骨软骨缺损在普通X线平片上清晰可见，遂进行磁共振成像以确定软组织和关节损伤的全貌。结果发现患者距骨穹窿为IV期损伤，碎片完全翻转，距腓前韧带和跟腓外侧踝关节韧带断裂。此外，患者内踝有粉碎性斜形骨折。采用可生物吸收钢针手术复位并固定距骨穹窿损伤。术后九个月，患者损伤完全恢复，无功能受限。
