霍金斯II型距骨骨折合并距下关节脱位：一种非常罕见的组合。

Hawkins' type-II talar fracture with subtalar dislocation: A very unusual combination.

作者信息

Gérard R, Kerfant N, Dubois de Mont Marin G, Stern R, Assal M

机构信息

Department of orthopaedic and trauma surgery, Polyclinique Keraudren, rue Ernestine-de-Trémaudan, 29200 Brest, France.

Department of trauma and reconstructive surgery, Brest University Hospital Center, La Cavale Blanche, boulevard Tanguy-Prigent, 29200 Brest, France.

出版信息

Orthop Traumatol Surg Res. 2017 May;103(3):403-406. doi: 10.1016/j.otsr.2016.12.009. Epub 2017 Jan 11.

DOI:10.1016/j.otsr.2016.12.009

PMID:28087394

Abstract

We report the unusual case of a 16-year-old young man who sustained a rare association of a Hawkins' type-II talar neck fracture with a complete medial subtalar dislocation (Hawkins type-IIB) that occurred as an isolated injury after indirect trauma during a soccer game. Following closed reduction of the subtalar dislocation, standard radiographs and computed tomography (CT) demonstrated a comminuted fracture of the talus involving the base of the talar neck. Open reduction was performed and the fracture was stabilized by ORIF. At 1-year follow-up, functional and radiographic outcomes were graded as excellent, with no radiographic evidence of talar osteonecrosis.

摘要

我们报告了一例不同寻常的病例，一名16岁的年轻男性，在一场足球比赛中因间接创伤后发生孤立性损伤，出现了罕见的霍金斯II型距骨颈骨折合并完全内侧距下关节脱位（霍金斯IIB型）。距下关节脱位闭合复位后，标准X线片和计算机断层扫描（CT）显示距骨粉碎性骨折，累及距骨颈基部。进行了切开复位，骨折通过切开复位内固定术得以稳定。在1年的随访中，功能和影像学结果评定为优秀，没有距骨骨坏死的影像学证据。