Hassan Zeddouk, Moncef Boufettal, Bassir Rida-Allah, Jalal Mekkaoui, Fekhaoui Mohammed Reda
Orthopedic Surgery & Traumatology, University Mohammed V, Ibn Sina Hospital, Rabat, Morocco.
Trauma Case Rep. 2025 Jul 10;58:101228. doi: 10.1016/j.tcr.2025.101228. eCollection 2025 Aug.
Isolated tibio-tarsal dislocations are uncommon as they are associated in most of the cases with fractures resulting from high-energy injuries. We report a case of a 28-year-old pregnant woman patient who suffered a closed posterior tibio-tarsal dislocation after a tree fell on her foot due to strong wind that day. The treatment consisted of a closed bloodless reduction, immobilization, a close follow up and rehabilitation. Six months later, our patient reported no sign of pain or instability and a good range of movement. In this case of an injured pregnant woman, we discuss the treatment and the importance of an early and adequate rehabilitation and also the challenge in radiographic study for a pregnant woman.
孤立性胫跗关节脱位并不常见，因为在大多数情况下，它们与高能损伤导致的骨折相关。我们报告一例28岁的孕妇病例，当天因强风导致一棵树倒在她脚上，致使其发生闭合性胫跗关节后脱位。治疗包括闭合无血复位、固定、密切随访及康复治疗。六个月后，我们的患者报告无疼痛或不稳定迹象，且活动范围良好。在这例受伤孕妇的病例中，我们讨论了治疗方法、早期充分康复的重要性以及孕妇影像学检查面临的挑战。
