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低能量机制后孤立性内后侧踝关节脱位伴三角骨脱位

Isolated Posterior Medial Ankle Dislocation with Associated Os Trigonum Dislocation after Low-Energy Mechanism.

作者信息

Irving Devan, Geers Brent, Lawrence Bruce

机构信息

Ascension Genesys Hospital, 1 Genesys Parkway, Grand Blanc, MI. 48439, USA.

出版信息

Case Rep Orthop. 2020 Jan 27;2020:5026058. doi: 10.1155/2020/5026058. eCollection 2020.

DOI:10.1155/2020/5026058
PMID:32047686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7007941/
Abstract

We describe a case of an isolated posteromedial ankle dislocation, without malleolar fracture, with associated dislocation of an os trigonal process after a low-energy tennis injury. We demonstrate that nonoperative treatment results in excellent functional outcome scores with minimal arthritic progression at 2 years of follow-up. We discuss pathoanatomic risk factors of pure dislocations and propose that an os trigonum is a risk factor for isolated dislocations of the ankle.

摘要

我们描述了一例因低能量网球运动损伤导致的单纯后内侧踝关节脱位病例，无踝关节骨折，伴有三角骨脱位。我们证明，非手术治疗在2年随访时可获得优异的功能结果评分，且关节炎进展极小。我们讨论了单纯脱位的病理解剖危险因素，并提出三角骨是踝关节单纯脱位的一个危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/43ff406b1cd0/CRIOR2020-5026058.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/393e95e7a9ce/CRIOR2020-5026058.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/28402f66dcea/CRIOR2020-5026058.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/cdc946233a07/CRIOR2020-5026058.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/43ff406b1cd0/CRIOR2020-5026058.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/393e95e7a9ce/CRIOR2020-5026058.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/28402f66dcea/CRIOR2020-5026058.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/cdc946233a07/CRIOR2020-5026058.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b87b/7007941/43ff406b1cd0/CRIOR2020-5026058.004.jpg

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本文引用的文献

1
Prevalence of Os Trigonum on CT Imaging.CT成像上三角骨的患病率。
Foot Ankle Int. 2018 Mar;39(3):338-342. doi: 10.1177/1071100717740937. Epub 2017 Dec 22.
2
Closed posterior ankle dislocation without associated fractures: a case report.闭合性后踝脱位且无相关骨折：一例病例报告
J Surg Case Rep. 2017 Aug 22;2017(8):rjx165. doi: 10.1093/jscr/rjx165. eCollection 2017 Aug.
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Pure Ankle Dislocation: A systematic review of the literature and estimation of incidence.单纯踝关节脱位：文献系统综述及发病率估计
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The anatomic variations of the posterior talofibular ligament associated with os trigonum and pathologies of related structures.与三角骨相关的距腓后韧带的解剖变异及相关结构的病变
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Radiographic evaluation of posttraumatic osteoarthritis of the ankle: the Kellgren-Lawrence scale is reliable and correlates with clinical symptoms.踝关节创伤后骨关节炎的影像学评估：凯尔格伦-劳伦斯量表可靠且与临床症状相关。
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Posteromedial ankle dislocation without malleolar fracture: a report of six cases.后踝前脱位合并无外踝骨折：6 例报告。
Injury. 2012 Nov;43(11):1953-7. doi: 10.1016/j.injury.2012.07.002. Epub 2012 Jul 26.
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Technique and results of arthroscopic treatment of posterior ankle impingement.关节镜治疗踝关节后撞击症的技术和结果。
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