Thoreau Loïc, Kaminski L, Putineanu Dan C
Cliniques Universitaires St Luc - Bruxelles, Orthopeadic Department, Belgium.
Trauma Case Rep. 2019 Mar 2;20:100175. doi: 10.1016/j.tcr.2019.100175. eCollection 2019 Apr.
Irreducible fracture dislocation of the ankle is a rare condition. Multiple cases have been described throughout the literature. Different known etiologies involve the distal fibula, deltoïd ligament and tendons of the posteromedial malleolar region. More specifically, trapping of the Posterior tibialis tendon has been described at several levels from the inside of the ankle joint, through the syndesmosis and in some cases in the fibula tibial interosseous space depending on the energy of trauma. We hereafter propose a case report and a review of previous cases of posterior tibialis tendon dislocation proximally in the interosseous space of the lower leg. The aim of this review is to point out common features and clues for early management in order to avoid overlooking these rare lesions as they may lead to major functional impairment of the ankle joint.
踝关节不可复位性骨折脱位是一种罕见的病症。文献中已描述了多例相关病例。已知的不同病因涉及外踝、三角韧带和后内侧踝区域的肌腱。更具体地说，根据创伤能量的不同，胫后肌腱在从踝关节内部、通过下胫腓联合到某些情况下在胫腓骨间隙近端的多个层面都有被描述过脱位的情况。我们在此报告一例病例，并对先前小腿骨间隙近端胫后肌腱脱位的病例进行综述。本综述的目的是指出早期处理的共同特征和线索，以避免忽视这些罕见损伤，因为它们可能导致踝关节严重功能障碍。
