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伴有近端胫腓关节脱位的马松纽夫变异型病变

Maisonneuve Variant Lesion with Proximal Tibiofibular Dislocation.

作者信息

Alencar Neto Jonatas Brito, Cavalcante Maria Luzete Costa, Pinto Neto Luiz Holanda, Lucena Igor Freitas de, Garrido Renackson Jordelino, Rocha Pedro Henrique Messias da

机构信息

Departamento de Ortopedia e Traumatologia, Instituto Doutor José Frota, Fortaleza, CE, Brasil.

Departamento de Ortopedia, Universidade Federal do Ceará, Hospital Walter Cantídio, Fortaleza, CE, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2019 May;54(3):339-342. doi: 10.1055/s-0039-1692625. Epub 2019 Jun 27.

DOI:10.1055/s-0039-1692625
PMID:31363291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6597427/
Abstract

Maisonneuve lesion is a rare entity, accounting for 7% of all ankle fractures. One of its variants includes a proximal tibiofibular dislocation, which is an even more unusual injury. This article reports the case of a 34-year-old male patient admitted to the emergency room with left lower limb edema after a sports trauma. A knee X-ray revealed an anterolateral subluxation of the proximal tibiofibular joint, with no signs of fracture. After limb evaluation, the diagnosis of Maisonneuve variant lesion with proximal tibiofibular dislocation was confirmed. The authors describe this case, addressing the clinical, radiological and surgical features of such variant.

摘要

马松纽夫损伤是一种罕见的情况,占所有踝关节骨折的7%。其变体之一包括胫腓近端脱位,这是一种更为罕见的损伤。本文报告了一名34岁男性患者的病例,该患者因运动创伤后左下肢水肿被收入急诊室。膝关节X线显示胫腓近端关节前外侧半脱位,无骨折迹象。经过肢体评估,确诊为伴有胫腓近端脱位的马松纽夫变体损伤。作者描述了该病例,阐述了这种变体的临床、放射学和手术特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/0c1c48096f66/10-1055-s-0039-1692625-i1800009pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/c23059a9808f/10-1055-s-0039-1692625-i1800009en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/52c3be42856b/10-1055-s-0039-1692625-i1800009en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/3bde3ccf38f9/10-1055-s-0039-1692625-i1800009en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/f265e1c065a9/10-1055-s-0039-1692625-i1800009en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/04d08a062633/10-1055-s-0039-1692625-i1800009pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/22174eaeb202/10-1055-s-0039-1692625-i1800009pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/352fc10383af/10-1055-s-0039-1692625-i1800009pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/0c1c48096f66/10-1055-s-0039-1692625-i1800009pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/c23059a9808f/10-1055-s-0039-1692625-i1800009en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/52c3be42856b/10-1055-s-0039-1692625-i1800009en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/3bde3ccf38f9/10-1055-s-0039-1692625-i1800009en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/f265e1c065a9/10-1055-s-0039-1692625-i1800009en-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/04d08a062633/10-1055-s-0039-1692625-i1800009pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/22174eaeb202/10-1055-s-0039-1692625-i1800009pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/352fc10383af/10-1055-s-0039-1692625-i1800009pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7db/6597427/0c1c48096f66/10-1055-s-0039-1692625-i1800009pt-4.jpg

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本文引用的文献

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Maisonneuve Equivalent Injury With Proximal Tibiofibular Joint Dislocation: Case Report and Literature Review.伴有近端胫腓关节脱位的马松纽夫等效损伤:病例报告及文献综述
J Foot Ankle Surg. 2017 Mar-Apr;56(2):404-407. doi: 10.1053/j.jfas.2016.10.003. Epub 2017 Jan 20.
2
Maisonneuve-hyperplantarflexion variant ankle fracture.马松纽夫-极度跖屈型踝关节骨折
Orthopedics. 2014 Nov;37(11):e1040-4. doi: 10.3928/01477447-20141023-92.
3
Dislocation of the proximal and distal tibiofibular syndesmotic complex without associated fracture: case report.
经腓骨解剖韧带成形术和骨干截骨术实现胫骨近侧胫腓联合稳定。
Chin J Traumatol. 2022 May;25(3):177-180. doi: 10.1016/j.cjtee.2021.04.006. Epub 2021 Apr 30.
Foot Ankle Int. 2011 Oct;32(10):1009-11. doi: 10.3113/FAI.2011.1009.
4
Traumatic dislocations of the proximal tibiofibular joint: a report of two cases.创伤性胫腓近侧关节脱位:两例报告
J Orthop Surg (Hong Kong). 2009 Apr;17(1):109-11. doi: 10.1177/230949900901700124.
5
Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales.美国矫形足踝协会临床评分量表主观部分的信度与效度
J Foot Ankle Surg. 2007 Mar-Apr;46(2):65-74. doi: 10.1053/j.jfas.2006.12.002.
6
Maisonneuve fracture equivalent with proximal tibiofibular dislocation. A case report and literature review.
J Bone Joint Surg Am. 2006 May;88(5):1111-6. doi: 10.2106/JBJS.E.00954.