无踝关节骨折的完全性距骨闭合性脱位：一例报告

Total Closed Talar Dislocation without Ankle Fracture: A Case Report.

作者信息

Arellano Rubén Daniel, Arellano Daniel Orlando, Arellano Diego Fernando, Becerra José Ángel, Ramírez José Arturo

机构信息

Faculdade de Medicina Torreón, Universidad Autónoma de Coahuila, Torreón Coahuila, México.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Apr 19;59(Suppl 1):e127-e132. doi: 10.1055/s-0043-1776295. eCollection 2024 Jul.

DOI:10.1055/s-0043-1776295

PMID:39027166

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11254438/

Abstract

We report a case of a 61-year-old female who presented to the emergency room after a fall from stairs. A total closed talar dislocation without talus or ankle fracture was diagnosed. The treating surgeon indicated an open reduction after an unsuccessful attempt at closed reduction. After six months of follow-up, the patient reported mild pain and partial weight-bearing with no discomfort; however, signs of talar avascular necrosis were present on magnetic resonance images and CT scans.

摘要

我们报告一例61岁女性病例，该患者从楼梯上摔落后被送往急诊室。诊断为完全闭合性距骨脱位，无距骨或踝关节骨折。在闭合复位尝试失败后，主治外科医生决定进行切开复位。经过六个月的随访，患者报告有轻度疼痛，可部分负重且无不适；然而，磁共振成像和CT扫描显示存在距骨缺血性坏死迹象。