[踝关节创伤后下胫腓联合的骨化]
[Ossification of the syndesmosis following trauma to the ankle].
作者信息
Jansen Joris A, Keizer Stefan B, Thomassen Bregje J W, van Arkel Ewoud R A
机构信息
University College Hospital London, afd. Orthopaedics & Trauma, Londen, Engeland.
出版信息
Ned Tijdschr Geneeskd. 2011;155:A3053.
BACKGROUND
Ossification of the ankle syndesmosis can occur following trauma to the ankle. Little is known about the treatment of syndesmosis ossification.
CASE DESCRIPTION
A 49-year-old man was referred to the orthopaedic outpatients' clinic by his GP with swelling on the lateral side of his right ankle. A few months earlier the patient had sustained an injury to his ankle while playing football, for which he had not been treated. X-ray examination revealed ossification of the ankle syndesmosis with an old posterior tibial fracture.
CONCLUSION
The patient had ossification of the right ankle syndesmosis. This type of ossification has a benign natural course and a policy of wait and see, plus pain relief, is usually sufficient. Surgical removal of the ossification should only be considered in active sportsmen and sportswomen with persistent symptoms that do not respond to conservative treatment.
背景
踝关节创伤后可发生下胫腓联合骨化。关于下胫腓联合骨化的治疗知之甚少。
病例描述
一名49岁男性被其全科医生转诊至骨科门诊，右踝外侧肿胀。几个月前，该患者在踢足球时脚踝受伤，未接受治疗。X线检查显示下胫腓联合骨化并伴有陈旧性胫骨后骨折。
结论
该患者存在右踝下胫腓联合骨化。这种类型的骨化具有良性自然病程，通常采取观察等待并缓解疼痛的策略就足够了。仅当有持续症状且保守治疗无效的活跃男女运动员才考虑手术切除骨化。
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