Marson Ben A, Craxford Simon, Ollivere Benjamin J
PhD Research Fellow, Academic Orthopaedics, Department of Trauma and Sports Medicine, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH.
Associate Professor, Academic Orthopaedics, Department of Trauma and Sports Medicine, University of Nottingham, Queen's Medical Centre, Nottingham.
Br J Hosp Med (Lond). 2019 Apr 2;80(4):201-203. doi: 10.12968/hmed.2019.80.4.201.
Ankle fractures are a common injury in children and adolescents - 1 in 1000 children will sustain an ankle fracture each year. Understanding the diagnosis and management of these injuries is vital for any doctor or clinician working in the emergency department, orthopaedics or providing community care. This review identifies the important features of high- and low-risk ankle fractures, how to prevent the use of unnecessary radiation and the management of these injuries. Fractures may be at high or low risk of instability and are managed accordingly. Many can be treated with conservative management in a cast, including unstable injuries following reduction. However, particular fracture patterns associated with the tibial growth plate need careful assessment of fracture reduction with cross-sectional imaging before committing to conservative management.
踝关节骨折在儿童和青少年中是一种常见损伤——每年每1000名儿童中就有1人会发生踝关节骨折。对于在急诊科、骨科工作或提供社区护理的任何医生或临床医生来说，了解这些损伤的诊断和处理至关重要。本综述确定了高风险和低风险踝关节骨折的重要特征、如何避免不必要的辐射以及这些损伤的处理方法。骨折可能有高或低的不稳定风险，并据此进行处理。许多骨折可以通过石膏保守治疗，包括复位后的不稳定损伤。然而，与胫骨生长板相关的特定骨折类型在采取保守治疗之前，需要通过横断面成像仔细评估骨折复位情况。
