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三踝骨折合并跟腱皮下断裂和外伤性腓骨脱位:病例报告及文献复习。

Trimalleolar Fracture Associated with Subcutaneous Rupture of the Achilles Tendon and Traumatic Peroneal Dislocation: A Case Report and Review of the Literature.

机构信息

Department of Orthopedics and Trauma-Surgery, Annecy Genevois Hospital Center, Annecy, France.

出版信息

JBJS Case Connect. 2024 Oct 3;14(4). doi: e23.00564. eCollection 2024 Oct 1.

Abstract

CASE

We report the case of a 44-year-old man who sustained an Achilles tendon rupture with an associated trimalleolar fracture and traumatic peroneal dislocation of the left ankle after a snowboarding injury. These injuries have been surgically repaired; the patient has returned to all his activities 18 months after surgery.

CONCLUSION

The possibility of such injuries occurring in combination should be considered. A thorough history, physical examination, and plain radiographs should be performed in higher energy trauma to the ankle. Additional diagnostic tests such as ultrasonography or magnetic resonance imaging may be used to supplement treatment.

LEVELS OF EVIDENCE

Level 5.

摘要

病例

我们报告了 1 例 44 岁男性病例,他在单板滑雪受伤后出现左踝关节跟腱断裂伴三踝骨折和外伤性腓骨脱位。这些损伤已通过手术修复;术后 18 个月,患者已恢复所有活动。

结论

应考虑这些损伤同时发生的可能性。在踝关节高能量创伤中,应进行详细的病史询问、体格检查和普通 X 线检查。可以使用超声或磁共振成像等其他诊断性检查来辅助治疗。

证据等级

5 级。

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