Acıbadem Bahçeşehir Tıp Merkezi Ortopedi ve Travmatoloji Bölümü, 34550 Başakşehir, İstanbul, Türkiye.
Jt Dis Relat Surg. 2020;31(3):626-629. doi: 10.5606/ehc.2020.74530.
Os trigonum fractures are seen rarely. Our patient was a 16-year-old male patient who applied to our emergency service with right ankle pain due to acute hyperplantar flexion while playing football. There was a swelling on the right ankle and he had difficulty in walking. Os trigonum fracture was detected at lateral X-ray of the right ankle. No additional injury was detected with computed tomography and magnetic resonance imaging (MRI). Patient was treated conservatively. A short leg cast was applied. Cast was removed after six weeks and range of motion exercises were started. Union of fracture was seen on X-ray at six weeks from injury. Conservative treatment is thought to be a good option in these fractures. Computed tomography and MRI are important in the differential diagnosis and evaluation of additional injuries in this type of fracture.
后三角骨骨折较为少见。我们的患者是一名 16 岁男性,在踢足球时因急性跖屈过度导致右踝关节疼痛而到急诊就诊。右踝关节肿胀,行走困难。右踝关节侧位 X 线片显示后三角骨骨折。计算机断层扫描和磁共振成像(MRI)未发现其他损伤。患者接受了保守治疗。长腿石膏固定。六周后去除石膏并开始进行关节活动度练习。伤后六周 X 线片显示骨折愈合。对于此类骨折,保守治疗被认为是一种较好的选择。在这种类型的骨折中,计算机断层扫描和 MRI 对鉴别诊断和评估其他损伤很重要。