Bae Bryan J Y, Baker Joseph F, Orec Robert J, Hadlow Alastair T
Junior Registrar, Department of Orthopaedics, Auckland City Hospital, Auckland, New Zealand.
Orthopaedic Surgeon, Department of Orthopaedics, Waikato Hospital, Hamilton, New Zealand.
J Foot Ankle Surg. 2017 Sep-Oct;56(5):1109-1113. doi: 10.1053/j.jfas.2017.04.018. Epub 2017 May 27.
Open ankle dislocations without fracture are rare injuries. Dislocation or interposition of adjacent tendons are a rare associated feature of ankle fracture-dislocation. We report an extremely unusual case of open ankle dislocation without fracture with concurrent tibialis posterior tendon interposition through the interosseous space that was detected incidentally on computed tomography. We highlight the clinical, radiologic, and intraoperative features to avoid missing similar diagnoses.
无骨折的开放性踝关节脱位是罕见的损伤。相邻肌腱的脱位或嵌入是踝关节骨折脱位罕见的相关特征。我们报告了一例极其罕见的无骨折开放性踝关节脱位病例，同时伴有胫后肌腱通过骨间隙嵌入，这是在计算机断层扫描时偶然发现的。我们强调临床、放射学和术中特征，以避免漏诊类似病例。
