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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.

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/c23059a9808f/10-1055-s-0039-1692625-i1800009en-1.jpg

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