Rachakonda Akhila, Kollimarla Venkata, Iyengar Karthikeyan P
Medical Student,Flinders University, Bedford Park, South Australia, 5042, Australia.
Trauma and Orthopaedic Surgeon, Southport and Ormskirk NHS Trust, Southport, PR8 6PN, UK.
J Clin Orthop Trauma. 2022 Feb 2;26:101802. doi: 10.1016/j.jcot.2022.101802. eCollection 2022 Mar.
Simultaneous fractures of the medial and lateral hallucal sesamoids from sports injuries are an extremely uncommon occurrences, with only one case reported in a hurdler. We describe an unusual injury in a basketball player resulting in simultaneous fractures of the medial and lateral hallucal sesamoid bones, a presentation, which we believe has not been reported before in the literature. With a growing interest in sports, the frequency of such injuries will undoubtedly rise. We highlight the clinical characteristics, biomechanical mechanism, role of complementary cross-sectional imaging in the diagnosis of hallucal sesamoid fractures. This case report emphasizes the need of high index of suspicion in reaching conclusive diagnosis of such rare injuries to prevent long term complications such as avascular necrosis or non-union and facilitate early return to sporting activities.
因运动损伤导致的拇内、外侧籽骨同时骨折极为罕见，仅有1例跨栏运动员的相关报道。我们描述了1例篮球运动员的罕见损伤，其导致拇内、外侧籽骨同时骨折，据我们所知，这种情况此前未见文献报道。随着人们对运动的兴趣日益浓厚，此类损伤的发生率无疑将会上升。我们着重介绍了拇籽骨骨折的临床特征、生物力学机制以及辅助横断面成像在诊断中的作用。本病例报告强调，对于此类罕见损伤，在做出明确诊断时需要高度怀疑，以预防缺血性坏死或骨不连等长期并发症，并促进患者早日恢复体育活动。
