Teixeira Joao, Carvalho Manuel, Torres António, Tavares Nuno
Centro Hospitalar de Entre o Douro e Vouga, E P E, Santa Maria da Feira, Aveiro, Portugal.
BMJ Case Rep. 2018 Apr 11;2018:bcr-2017-223441. doi: 10.1136/bcr-2017-223441.
Some ankle sprains hide important lesions beyond the classic lateral ligament complex injuries. The lateral inverted osteochondral fracture of the talus (LIFT) represents a rare osteochondral lesion, whose diagnosis relies on a high clinical suspicion followed by correct image study interpretation. We present a successful arthroscopic fixation of a LIFT lesion in a 45-year-old active man. At 8 months follow-up, the patient was pain free and able to return to his daily activities without limitation. The imagiological study showed osteochondral fragment consolidation with no signs of hardware failure. This midterm results reassemble the need for early diagnosis and correct treatment to achieve a good outcome in these complex and rare osteochondral lesions.
一些踝关节扭伤隐藏着经典外侧韧带复合体损伤之外的重要病变。距骨外侧翻转骨软骨骨折（LIFT）是一种罕见的骨软骨病变，其诊断依赖于高度的临床怀疑，随后进行正确的影像学检查解读。我们报告了一例45岁活跃男性LIFT病变的成功关节镜下固定病例。在8个月的随访中，患者无疼痛，能够不受限制地恢复日常活动。影像学检查显示骨软骨碎片愈合，无内固定失败迹象。这些中期结果再次表明，对于这些复杂且罕见的骨软骨病变，需要早期诊断和正确治疗以取得良好疗效。
