Stevens Nicole M, Wasterlain Amy S, Konda Sanjit R
Resident Physician, Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Queens, NY; Resident Physician, Department of Orthopedic Surgery, NYU Langone Medical Center, New York, NY.
Resident Physician, Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Queens, NY; Resident Physician, Department of Orthopedic Surgery, NYU Langone Medical Center, New York, NY.
J Foot Ankle Surg. 2017 Jul-Aug;56(4):889-893. doi: 10.1053/j.jfas.2017.04.004.
Irreducible ankle fractures are a relatively rare phenomenon. We present a case of a pronation abduction-type ankle fracture that was irreducible in the emergency room despite sedation. The patient was taken to the operating room, where the posterior tibialis tendon and retinaculum, deltoid ligament, and anteromedial capsule were found to be trapped within the joint. After removal of the tissue, alignment was restored. The patient did well clinically and was advanced to full weightbearing at 6 weeks. This is, to the best of our knowledge, the first report of entrapment of all 4 anatomic structures, preventing closed reduction.
不可复位的踝关节骨折是一种相对罕见的现象。我们报告一例旋前外展型踝关节骨折病例，该病例在急诊室尽管使用了镇静剂仍无法复位。患者被送往手术室，术中发现胫后肌腱及其支持带、三角韧带和前内侧关节囊被困于关节内。去除这些组织后，恢复了骨折对位。患者临床恢复良好，6周时开始完全负重。据我们所知，这是首例所有4个解剖结构均发生嵌顿而导致闭合复位失败的报道。
