Heckman J D, McLean M R
Clin Orthop Relat Res. 1985 Oct(199):108-13.
A retrospective review of nine patients with fractures of the lateral process of the talus indicates that a substantial portion of patients will have persistent symptoms if the fracture is not diagnosed and appropriately treated soon after the injury. When a patient is evaluated for the symptoms of a "sprained ankle," these fractures are often overlooked on the initial roentgenograms. If untreated, these fractures often fail to heal, and persistent pain over the lateral aspect of the ankle following an inversion injury should be investigated for the possibility of this diagnosis. Prompt treatment of acute fractures appears to lead to the best result. Nondisplaced fractures heal well in a short-leg cast, with six weeks of immobilization. Large displaced fracture fragments require surgical treatment: single large fragments should be reduced and internally fixed, and large comminuted fragments should be excised.
对9例距骨外侧突骨折患者的回顾性研究表明，如果骨折在受伤后未得到及时诊断和适当治疗，相当一部分患者会出现持续症状。当患者因“脚踝扭伤”症状接受评估时，这些骨折在最初的X线片上常被忽视。如果不进行治疗，这些骨折往往无法愈合，对于内翻损伤后踝关节外侧持续疼痛的情况，应排查是否存在这种诊断的可能性。急性骨折的及时治疗似乎能带来最佳效果。无移位骨折用短腿石膏固定六周即可顺利愈合。大的移位骨折碎片需要手术治疗：单个大碎片应进行复位和内固定，大的粉碎性碎片应予以切除。
