Frasca Wilson, Do Nhan
Riverside Community Hospital/University of California Riverside, Department of Emergency Medicine, Riverside, CA.
J Educ Teach Emerg Med. 2020 Jul 15;5(3):V7-V9. doi: 10.21980/J8FP75. eCollection 2020 Jul.
This report demonstrates a case of a severe talar neck fracture. Although rare, talar neck fractures have a high potential for morbidity. Typically caused by a high energy injury, this patient's mechanism of injury was relatively minor, and presentation was not immediately concerning for such a severe fracture. Initial x-rays provided a gross demonstration of the fracture, but a CT scan was obtained to better evaluate the bone fragments and associated tarsal dislocations. The patient was treated symptomatically and splinted in the emergency department, underwent open reduction and internal fixation the next morning, and was discharged a day later. The patient's severe injury was identified and received definitive treatment to help avoid potentially devastating complications.
Orthopedics, trauma, talar neck fracture.
本报告展示了一例严重的距骨颈骨折病例。距骨颈骨折虽罕见,但发病风险高。通常由高能损伤引起,该患者的损伤机制相对较轻,且最初的表现并不像如此严重骨折那样令人立即担忧。最初的X线片大致显示了骨折情况,但随后进行了CT扫描以更好地评估骨碎片及相关跗骨脱位。患者在急诊科接受了对症治疗并进行了夹板固定,次日上午接受了切开复位内固定手术,一天后出院。患者的严重损伤得到了确诊并接受了确定性治疗,以帮助避免可能造成严重后果的并发症。
骨科、创伤、距骨颈骨折。