Mazel C, Rigault P, Padovani J P, Finidori G, Touzet P
Rev Chir Orthop Reparatrice Appar Mot. 1986;72(3):183-95.
The authors have reviewed 23 fractures of the talus in children. They propose a classification based on the radiological maturity of the bone and the specific type of fracture. Group I: Children younger than 6 years (6 cases). The fracture line separates the bone into two parts. The diagnosis was difficult, with displacement being underestimated in some cases. Associated lesions in the same limb were present in 5 cases. Five fractures of the neck of the talus were treated conservatively with excellent or fair results. One comminuted fracture was treated surgically with a poor result. In all cases treatment should aim to maintain a good tibio-tarsal joint. Group II: Children older than 6 years (17 cases). Eight cases were osteochondral fractures, two were partial fractures and seven were complete fractures. Two of these developed subsequent avascular necrosis. The relationship between osteochondral fractures and osteochondritis is discussed.
作者回顾了23例儿童距骨骨折。他们根据骨骼的放射学成熟度和骨折的具体类型提出了一种分类方法。第一组：6岁以下儿童（6例）。骨折线将骨头分成两部分。诊断困难，在某些情况下移位被低估。同一肢体存在相关病变5例。5例距骨颈骨折采用保守治疗，效果优良或尚可。1例粉碎性骨折采用手术治疗，效果不佳。在所有病例中，治疗的目的应是保持良好的胫距关节。第二组：6岁以上儿童（17例）。8例为骨软骨骨折，2例为部分骨折，7例为完全骨折。其中2例随后发生缺血性坏死。讨论了骨软骨骨折与骨软骨炎之间的关系。
