Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria (MM, KG, JR).
Sanatorium Kettenbrücke Innsbruck, Innsbruck, Austria (CD).
Foot Ankle Spec. 2022 Oct;15(5):482-486. doi: 10.1177/19386400211029150. Epub 2021 Oct 25.
We present a case of a 25-year-old male professional soccer player who complained of severe pain over the first metatarsal head after opponent contact during a soccer game. Clinical findings showed swelling and tenderness. Initial radiographs showed a diastasis of a bipartite medial sesamoid between the fragments as compared to radiographs taken 4 years earlier of the same foot. A computed tomography scan was performed objectifying the widened interval and also showing an angulation of the proximal fragment. Open reduction and screw fixation were performed, leading to adequate positioning of the 2 bipartite fragments. The patient showed good clinical recovery and returned to the same performance level. Turf toe injury with diastasis of a medial bipartite sesamoid can be treated successfully with this operative technique. Level V: Case report.
我们报告了一例 25 岁男性职业足球运动员的病例，他在足球比赛中被对手接触后，第一跖骨头剧烈疼痛。临床检查显示肿胀和压痛。最初的 X 线片显示与 4 年前同一足部的 X 线片相比，内侧籽骨的二分体有分离。进行了计算机断层扫描，客观显示间隔增宽，并显示近端碎片的成角。进行了切开复位和螺钉固定，使 2 个二分体碎片得到了适当的定位。患者的临床恢复良好，并恢复到相同的运动水平。这种手术技术可成功治疗伴有内侧二分体籽骨分离的跖球损伤。 5 级：病例报告。
