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伴有外侧踝关节不稳的球窝踝关节外侧韧带重建:病例报告及文献综述

Lateral Ligament Reconstruction for Ball-and-Socket Ankle Accompanying Lateral Ankle Instability: A Case Report and Literature Review.

作者信息

Kocadal Onur, Ozsoy Arzu, Ozsoy Hakan

机构信息

Orthopedist, Department of Orthopedics and Traumatology, Ankara Training and Research Hospital, Ankara, Turkey.

Radiologist, Clinic of Radiology, Ankara Numune Education and Research Hospital, Ankara, Turkey.

出版信息

J Foot Ankle Surg. 2017 Nov-Dec;56(6):1339-1342. doi: 10.1053/j.jfas.2017.06.023.

Abstract

The ball-and-socket ankle joint is a rare deformity characterized by the loss of concavity in the trochlear surface of the talus with rounding of the articular surfaces of the distal fibula and tibia. Frequently, tarsal coalitions, fibular hypoplasia, and shortening of the limb accompany this deformity. To date, no data have been reported on surgical treatment of lateral ankle joint instability and peroneal tendon dislocation concomitant with a ball-and-socket ankle joint. In the present study, we report the case of a 43-year-old male patient with right lateral ankle joint instability and peroneal tendon dislocation in a ball-and-socket ankle joint, with accompanying tarsal coalition. This was surgically treated by lateral ankle joint ligament reconstruction and tenodesis.

摘要

球窝状踝关节畸形罕见,其特征为距骨滑车面凹陷消失,腓骨远端和胫骨关节面呈圆形。这种畸形常伴有跗骨联合、腓骨发育不全和肢体短缩。迄今为止,尚无关于球窝状踝关节合并外侧踝关节不稳及腓骨肌腱脱位手术治疗的报道。在本研究中,我们报告了1例43岁男性患者,其右球窝状踝关节合并外侧踝关节不稳及腓骨肌腱脱位,并伴有跗骨联合。通过外侧踝关节韧带重建和腱固定术对其进行了手术治疗。

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