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距下关节脱位

Subtalar dislocation.

作者信息

Christensen S B, Lorentzen J E, Krogsøe O, Sneppen O

出版信息

Acta Orthop Scand. 1977;48(6):707-11. doi: 10.3109/17453677708994821.

Abstract

During the period from 1945 to 1972, 30 cases of subtalar dislocation were reported to the Directorate of Industrial Injuries Insurance in Denmark. The lesions were classified according to type of dislocation showing that the medial inward type predominated by far. According to the findings of the present investigation, the long-term prognosis seems to be more serious than has hitherto been assumed. X-ray and clinical examination disclosed that arthrosis of the subtalar joints was demonstrable in 19 patients. Six of these patients had pantalar arthrosis, the causative factor in two cases being avascular necrosis of the talus. Clinical examination showed that walking was associated with some degree of pain in 21 patients and 15 patients had a more or less pronounced limp.

摘要

在1945年至1972年期间,丹麦工伤保险公司管理局报告了30例距下关节脱位病例。根据脱位类型对损伤进行分类,结果显示内侧向内型占绝对优势。根据本研究的结果,长期预后似乎比迄今所认为的更为严重。X线和临床检查发现,19例患者存在距下关节骨关节炎。其中6例患者患有全跗关节骨关节炎,2例的病因是距骨缺血性坏死。临床检查表明,21例患者行走时伴有一定程度的疼痛,15例患者有或多或少明显的跛行。

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