Barai Avajit, Scorgie Ralph, Lambie Bruce
Emergency Department, Dunedin Hospital, Dunedin.
N Z Med J. 2017 Jun 16;130(1457):79-83.
Talus is a well-supported bone in the foot. A fracture of talus requires a high-impact injury. A wedge-shaped inferolateral component is the lateral process of the talus (LPT). A fracture of LPT is also known as a 'snowboarder's fracture'. Simultaneous bilateral snowboarder's fracture is rarely reported in English literature.
We present here a case of simultaneous bilateral snowboarder's fractures in a slow-moving motor vehicle accident in the icy conditions. The injuries were unique because the snowboarder's fractures were accompanied by fractures of the inferior aspect of talus bilaterally and a fracture of the anterior process of the calcaneus in the right foot. To our knowledge, no such case has been reported in the past. Our patient underwent successful open reduction and internal fixation with plate and screws.
Snowboarder's fractures are frequently missed by the clinicians, which causes significant morbidity of the patients. Adequate knowledge and awareness among the physicians about this type of injury may improve the patient care.
距骨是足部一块得到良好支撑的骨头。距骨骨折需要高能量损伤。楔形的下外侧部分是距骨的外侧突（LPT）。LPT骨折也被称为“单板滑雪者骨折”。英文文献中很少报道双侧同时发生的单板滑雪者骨折。
我们在此呈现一例在结冰路况下低速机动车事故中双侧同时发生单板滑雪者骨折的病例。这些损伤很独特，因为双侧单板滑雪者骨折同时伴有距骨下方骨折以及右脚跟骨前突骨折。据我们所知，过去尚未有此类病例的报道。我们的患者接受了成功的切开复位钢板螺钉内固定术。
临床医生经常漏诊单板滑雪者骨折，这会导致患者出现严重的发病情况。医生对这类损伤有足够的认识和了解可能会改善患者的治疗。
