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表现为下胫腓联合延伸及胫腓后下韧带断裂的距骨广泛性骨软骨瘤：1例罕见病例报告及文献复习

Extensive Osteochondroma of the Talus Presenting As Syndesmotic Joint Extension and Posterior Inferior Tibiofibular Ligament Rupture: A Reportof a Rare Case and a Review of the Literature.

作者信息

Dureja Kamal, Suvarna Pratheeksh P, Sahu Amit K

机构信息

Department of Foot and Ankle Orthopedics, Max Smart Super Speciality Hospital, Saket, New Delhi, IND.

Department of Radiology, Max Smart Super Speciality Hospital, Saket, New Delhi, IND.

出版信息

Cureus. 2024 Mar 1;16(3):e55339. doi: 10.7759/cureus.55339. eCollection 2024 Mar.

DOI:10.7759/cureus.55339
PMID:38559502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10981921/
Abstract

This case report describes a rare occurrence of talar osteochondroma extending into syndesmosis, causing disruption of the interosseous membrane and the posterior inferior tibiofibular ligament (PITFL). This type of presentation for a talar osteochondroma is the first of its kind reported in the literature based on current knowledge. A detailed preoperative radiological assessment was crucial in planning the surgical approach and preparing for syndesmotic stabilization during the excision. The patient underwent successful and complete excision of the osteochondroma, and the syndesmosis was stabilized using a cortical screw along with anatomical repair of the PITFL. Apart from delayed wound healing, the patient exhibited good functional outcomes in terms of gait and ankle range of motion at the six-month follow-up. This case serves as a valuable reference for similar presentations in the future, emphasizing the importance of thorough preoperative assessment and appropriate treatment planning.

摘要

本病例报告描述了距骨骨软骨瘤罕见地延伸至下胫腓联合，导致骨间膜和下胫腓后韧带（PITFL）断裂。就目前所知，这种距骨骨软骨瘤的表现类型在文献中尚属首次报道。详细的术前影像学评估对于规划手术入路以及为切除过程中的下胫腓联合稳定化做准备至关重要。患者成功完整切除了骨软骨瘤，并使用皮质骨螺钉稳定下胫腓联合，同时对PITFL进行了解剖修复。除了伤口愈合延迟外，患者在六个月随访时的步态和踝关节活动范围方面展现出良好的功能结果。该病例为未来类似表现提供了有价值的参考，强调了全面术前评估和恰当治疗规划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/d477df12de22/cureus-0016-00000055339-i14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/54db833c9a01/cureus-0016-00000055339-i01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/56cfc11ac15d/cureus-0016-00000055339-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/cb181ef0d2b2/cureus-0016-00000055339-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/247a64b658f2/cureus-0016-00000055339-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/03bc564b32c2/cureus-0016-00000055339-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/c3b8e3d9579a/cureus-0016-00000055339-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/4733c1ba3cb9/cureus-0016-00000055339-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/6c05d65b4ff1/cureus-0016-00000055339-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/7d29073bdf1d/cureus-0016-00000055339-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/b22a4d90d4e0/cureus-0016-00000055339-i13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/d477df12de22/cureus-0016-00000055339-i14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/54db833c9a01/cureus-0016-00000055339-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/aeefa3816710/cureus-0016-00000055339-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/9710cfe5e24d/cureus-0016-00000055339-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/930d096e1d01/cureus-0016-00000055339-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/56cfc11ac15d/cureus-0016-00000055339-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/cb181ef0d2b2/cureus-0016-00000055339-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/247a64b658f2/cureus-0016-00000055339-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/03bc564b32c2/cureus-0016-00000055339-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/c3b8e3d9579a/cureus-0016-00000055339-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/4733c1ba3cb9/cureus-0016-00000055339-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/6c05d65b4ff1/cureus-0016-00000055339-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/7d29073bdf1d/cureus-0016-00000055339-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/b22a4d90d4e0/cureus-0016-00000055339-i13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/606e/10981921/d477df12de22/cureus-0016-00000055339-i14.jpg

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本文引用的文献

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