Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong.
BMJ Case Rep. 2014 Apr 17;2014:bcr2014204116. doi: 10.1136/bcr-2014-204116.
We report a case of fracture of the tuberosity of the fifth metatarsal which was managed by tension band wiring and bone grafting. It was complicated by symptomatic fibrosis of the operated site involving the cubometatarsal joint, peroneus brevis tendon, peroneus tertius tendon and the long extensor tendon to the fifth toe. This was successfully managed by arthroscopic lysis of the involved joint and tendons.
我们报告一例第五跖骨粗隆骨折,采用张力带钢丝固定和植骨治疗。手术部位出现症状性纤维化,累及骰跖关节、腓骨短肌腱、第三腓骨肌腱和第五趾长伸肌腱,导致病情复杂。通过关节镜下松解受累关节和肌腱,成功解决了这一问题。