O'Leary C, Ward F J
Accident & Emergency Department, St. James's Hospital, Dublin, Ireland.
J Trauma. 1989 Jan;29(1):119-21. doi: 10.1097/00005373-198901000-00027.
A unique closed abduction-external rotation ankle fracture with a combined medial malleolar fracture and avulsion of the deltoid ligament is presented. Thorough literature search has not revealed a similar case. This report is well documented with an operative photograph, radiographs, and a 20-month followup. A mechanical basis for such an injury pattern is described. The magnitude and complexity of the injuring forces applied to the ankle region in road trauma may lead--as in this presentation--to unusual injury combinations.
本文报道了一例独特的闭合性外展外旋型踝关节骨折，合并内踝骨折及三角韧带撕脱伤。全面的文献检索未发现类似病例。本报告有手术照片、X线片及20个月的随访记录，资料完整。文中描述了这种损伤模式的力学基础。道路交通事故中施加于踝关节区域的致伤力的大小和复杂性，可能导致——如本病例所示——不寻常的损伤组合。
