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一例踝关节扭伤后被忽视的跟腱断裂病例。

A Case of Neglected Achilles Rupture after an Ankle Sprain.

作者信息

Dreyer Mark A, Dookie Annabelle

机构信息

Department of Surgical Services at Naval Health Clinic New England, 43 Smith Road Newport, RI.

Department of Podiatric Medicine & Radiology, Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, 3333 Green Bay Road, North Chicago, IL.

出版信息

Mil Med. 2019 Mar 1;184(3-4):e306-e310. doi: 10.1093/milmed/usy203.

Abstract

Lateral ankle sprains are common injuries seen by primary care and podiatric specialties. However, lateral ankle pain from a suspected inversion injury of the ankle may be more than a Grades I, II, or III ankle sprain. This case report illustrates a 30-year-old U.S. Navy Active Duty Service Member that was initially diagnosed with a "lateral ankle sprain". Upon subsequent follow-up with a podiatric foot and ankle surgeon, he was diagnosed with a 3-month-old chronic and neglected Achilles tendon rupture. The purpose of this manuscript is to present an uncommon and unique presentation of lateral ankle pain after injury, subsequent surgical treatment, as well as a review of the common differential diagnoses of "lateral ankle pain."

摘要

外侧踝关节扭伤是初级保健和足病专科常见的损伤。然而,因疑似踝关节内翻损伤引起的外侧踝关节疼痛可能不仅仅是I级、II级或III级踝关节扭伤。本病例报告描述了一名30岁的美国海军现役军人,最初被诊断为“外侧踝关节扭伤”。在随后由足病足踝外科医生进行随访时,他被诊断为3个月大的慢性且被忽视的跟腱断裂。本文的目的是呈现损伤后外侧踝关节疼痛的一种不常见且独特的表现、后续的手术治疗,以及对“外侧踝关节疼痛”常见鉴别诊断的综述。

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