Wolf E W, Lango S, Fittanto F C
Department of Surgery, St. Clare's Hospital and Health Center, New York, NY 10019.
J Am Podiatr Med Assoc. 1991 Aug;81(8):429-34. doi: 10.7547/87507315-81-8-429.
The authors describe a case involving an isolated posterior fibular malleolar fracture in an 80-year-old female, which was identified on multiple lateral radiographs of the involved ankle and confirmed by computed tomography. The patient was treated conservatively with 10 weeks of walking cast immobilization, resulting in poorly acceptable radiographic and clinical results. The authors review the anatomy of the area of involvement. A literature review, the clinical case study, and a discussion of the difficulty in evaluation of these types of fibular fractures are presented along with a protocol for the diagnosis and treatment of these fractures.
作者描述了一例80岁女性单纯性后踝骨折的病例，该骨折在患侧踝关节的多张侧位X线片上被发现，并经计算机断层扫描证实。患者接受了为期10周的行走石膏固定保守治疗，但其影像学和临床结果均不尽人意。作者回顾了受累区域的解剖结构。文中还呈现了文献综述、临床病例研究，讨论了此类腓骨骨折评估的难点，并给出了这些骨折的诊断和治疗方案。
