常规X线摄影无法检测到的踝关节骨折的诊断性超声检查：病例报告
Diagnostic Ultrasonography of an Ankle Fracture Undetectable by Conventional Radiography: A Case Report.
作者信息
Daniels Clinton J, Welk Aaron B, Enix Dennis E
机构信息
Adjunct Faculty, Department of Clinical Sciences, Logan University, Chesterfield, MO.
Diagnostic Imaging Fellow, Department of Radiology, Logan University, Chesterfield, MO.
出版信息
J Chiropr Med. 2016 Mar;15(1):35-41. doi: 10.1016/j.jcm.2016.02.005. Epub 2016 Feb 26.
OBJECTIVE
The purpose of this study is to present diagnostic ultrasonography assessment of an occult fracture in a case of persistent lateral ankle pain.
CLINICAL FEATURES
A 35-year-old woman presented to a chiropractic clinic with bruising, swelling, and pain along the distal fibula 3 days following an inversion ankle trauma. Prior radiographic examination at an urgent care facility was negative for fracture. Conservative care over the next week noted improvement in objective findings, but the pain persisted.
INTERVENTION AND OUTCOME
Diagnostic ultrasonography was ordered to assess her persistent ankle pain and showed a minimally displaced fracture of the fibula 4 cm proximal to the lateral malleolus. The patient was referred to her primary care physician and successfully managed with conservative care.
CONCLUSION
In this case, diagnostic ultrasonography was able to identify a Danis-Weber subtype B1 fracture that was missed by plain film radiography.
目的
本研究旨在介绍对一例持续性外踝疼痛患者隐匿性骨折的诊断性超声评估。
临床特征
一名35岁女性在踝关节内翻损伤3天后到一家整脊诊所就诊，表现为腓骨远端有瘀伤、肿胀和疼痛。此前在一家紧急护理机构进行的X线检查未发现骨折。在接下来的一周进行保守治疗后，客观检查结果有所改善，但疼痛仍持续存在。
干预措施与结果
为评估其持续性踝关节疼痛，进行了诊断性超声检查，结果显示在距外踝近端4厘米处腓骨有一处轻度移位骨折。该患者被转诊至其初级保健医生处，并通过保守治疗成功治愈。
结论
在本病例中，诊断性超声能够识别出X线平片遗漏的Danis-Weber B1型骨折。
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