Ricci R Daniel, Cerullo James, Blanc Robert O, McMahon Patrick J, Buoncritiani Anthony M, Stone David A, Fu Freddie H
Marshall University, Athletics Department, Huntington, WV 25715, USA.
J Athl Train. 2008 May-Jun;43(3):319-25. doi: 10.4085/1062-6050-43.3.319.
To present the case of a talocrural dislocation with a Weber type C fibular fracture in a National Collegiate Athletic Association Division I football athlete.
The athlete, while attempting to make a tackle during a game, collided with an opponent, who in turn stepped on the lateral aspect of the athlete's ankle, resulting in forced ankle eversion and external rotation. On-field evaluation showed a laterally displaced talocrural dislocation. Immediate reduction was performed in the athletic training room to maintain skin integrity. Post-reduction radiographs revealed a Weber type C fibular fracture and increased medial joint clear space. A below-knee, fiberglass splint was applied to stabilize the ankle joint complex.
Subtalar dislocation, Maisonneuve fracture, malleolar fracture, deltoid ligament rupture, syndesmosis disruption.
The sports medicine staff immediately splinted and transported the athlete to the athletic training room to reduce the dislocation. The athlete then underwent an open reduction and internal fixation procedure to stabilize the injury: 2 syndesmosis screws and a fibular plate were placed to keep the ankle joint in an anatomically reduced position. With the guidance of the athletic training staff, the athlete underwent an accelerated physical rehabilitation protocol in an effort to return to sport as quickly and safely as possible.
Most talocrural dislocations and associated Weber type C fibular fractures are due to motor vehicle accidents or falls. We are the first to describe this injury in a Division I football player and to present a general rehabilitation protocol for a high-level athlete.
Sports medicine practitioners must recognize that this injury can occur in the athletic environment. Prompt reduction, early surgical intervention, sufficient resources, and an accelerated rehabilitation protocol all contributed to a successful outcome in the patient.
介绍一名美国大学体育协会（NCAA）一级橄榄球运动员发生的伴有韦伯C型腓骨骨折的距小腿关节脱位病例。
该运动员在比赛中试图进行擒抱时，与一名对手相撞，对手继而踩到了运动员脚踝的外侧，导致踝关节被迫外翻和外旋。现场评估显示距小腿关节外侧移位脱位。在运动训练室立即进行了复位以保持皮肤完整性。复位后X线片显示韦伯C型腓骨骨折，内侧关节间隙增宽。应用了膝下玻璃纤维夹板来稳定踝关节复合体。
距下关节脱位、 Maisonneuve骨折、踝关节骨折、三角韧带断裂、下胫腓联合损伤。
运动医学人员立即用夹板固定并将运动员转运至运动训练室进行脱位复位。然后该运动员接受了切开复位内固定手术以稳定损伤：置入2枚下胫腓联合螺钉和一块腓骨钢板，以使踝关节保持解剖复位位置。在运动训练人员的指导下，该运动员接受了加速康复方案，以期尽快且安全地重返运动。
大多数距小腿关节脱位及相关的韦伯C型腓骨骨折是由机动车事故或跌倒所致。我们是首个描述一名一级橄榄球运动员发生这种损伤的情况，并为一名高水平运动员提出通用康复方案的。
运动医学从业者必须认识到这种损伤可能发生在运动环境中。及时复位、早期手术干预、充足的资源以及加速康复方案均促成了该患者的成功治疗结果。
