胫骨髓内钉固定术后应用动态超声诊断胫后肌腱撕裂
Diagnosing posterior tibial tendon tear with dynamic ultrasound following tibial intramedullary nailing.
作者信息
Kavuri Venkat C, Earasi Kranthikiran, Varacallo Matthew, Harding Susan P
机构信息
Drexel/HUH Dept. of Orthopaedic Surgery, USA.
出版信息
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):666-668. doi: 10.1016/j.jcot.2018.08.015. Epub 2018 Aug 10.
Abstract
Complications following tibial intramedullary nailing include anterior knee pain, malunion, nonunion, and symptomatic/prominent interlocking screws. We report a case of a posterior tibial tendon tear caused by placement of a distal interlocking screw which was detected via dynamic ultrasound. This is a rare and possibly underreported complication which could be the cause of persistent medial sided ankle pain following locked tibial nail placement.
摘要
胫骨髓内钉固定术后的并发症包括前膝痛、骨愈合不良、骨不连以及有症状的/突出的交锁螺钉。我们报告一例因置入远端交锁螺钉导致胫后肌腱撕裂的病例，该病例通过动态超声检查得以发现。这是一种罕见且可能未被充分报道的并发症，可能是锁定胫骨髓内钉置入后持续性内侧踝关节疼痛的原因。
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