Fuchs M, Wruhs O
Unfallchirurg. 1989 Oct;92(10):505-8.
This case was interesting because of the type of injuries--combination luxation of the talocrural and subtalar joint, endochondral fracture of the talus, and severe injury to the soft tissue. Although a careful study of the literature was made, nothing was found that dealt with similar injuries, including fracture of the posterior syndesmosis. The pathomechanism included motion phases that interfered with one another and merged. This injury is caused by a combination of luxation of the talocrural and subtalar joint, with forces acting in both radial and tangential directions. We worked out the pattern of injury, decided upon the treatment of choice, and summarize here some of the information found in the literature.
该病例很有意思，因其损伤类型为——距小腿关节和距下关节联合脱位、距骨软骨内骨折以及软组织严重损伤。尽管对文献进行了仔细研究，但未发现任何涉及类似损伤的内容，包括后联合韧带骨折。发病机制包括相互干扰并合并的运动阶段。这种损伤是由距小腿关节和距下关节脱位共同作用引起的，力在径向和切向两个方向上起作用。我们梳理了损伤模式，确定了首选治疗方法，并在此总结文献中发现的一些信息。
