跟腱皮下断裂及同侧内踝骨折。
Subcutaneous rupture of the Achilles tendon and ipsilateral fracture of the medial malleolus.
作者信息
Maffulli Nicola, Richards Paula J
机构信息
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Stoke-on-Trent, UK.
出版信息
BMC Musculoskelet Disord. 2006 Jul 27;7:59. doi: 10.1186/1471-2474-7-59.
BACKGROUND
Although ankle fractures and an Achilles tendon rupture are relatively frequent in isolation, their association in the same injury is uncommon.
CASE PRESENTATION
A 38 year old male tree surgeon fell six meters from a tree, sustaining a subcutaneous rupture of the Achilles tendon and an ipsilateral closed fracture of the medial malleolus. The injuries were diagnosed following clinical examination and imaging.
CONCLUSION
This injury combination is infrequent, and management of the Achilles tendon rupture should take into account the necessity not to secondarily displace the fracture of the medial malleollus.
背景
尽管踝关节骨折和跟腱断裂单独发生时相对常见，但在同一损伤中同时出现并不常见。
病例介绍
一名38岁的男性树木外科医生从树上跌落6米，导致跟腱皮下断裂和同侧内踝闭合性骨折。经临床检查和影像学检查后确诊了这些损伤。
结论
这种损伤组合并不常见，跟腱断裂的治疗应考虑避免内踝骨折继发移位的必要性。
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