Tountas A A
Northwestern General Hospital, Toronto, Ontario, Canada.
Clin Orthop Relat Res. 1989 Jun(243):195-9.
In four women with occult fracture-subluxation of the midtarsal joint incurred in trivial accidents, the correct diagnosis was made promptly, assisted in one case by bone scintigraphy. Treatment was conservative, consisting of cast immobilization for six to eight weeks and a weight-bearing restriction. At the minimum follow-up time of 24 months, the functional results were rated good in three patients and fair in one. In the patient with a fair result, a compression fracture of the posterior facet of the calcaneus was diagnosed retrospectively. An occult fracture-subluxation of the mid-tarsal joint can be treated effectively by conservative means.
在4例因轻微事故导致中跗关节隐匿性骨折半脱位的女性患者中，均迅速做出了正确诊断，其中1例借助骨闪烁显像得以确诊。治疗采用保守方法，包括石膏固定6至8周以及限制负重。在最短24个月的随访期时，3例患者的功能结果评定为良好，1例为尚可。功能结果尚可的患者经回顾性诊断发现存在跟骨后关节面压缩性骨折。中跗关节隐匿性骨折半脱位可通过保守方法得到有效治疗。
