Valentine B C, Buoye S F, Naples J J
Residency program, Doctor's Hospital, New Boston, Texas, USA.
J Foot Ankle Surg. 1995 Jul-Aug;34(4):379-83. doi: 10.1016/S1067-2516(09)80008-2.
The authors report an 18-year-old patient who sustained a two-part injury involving his right ankle. The result of this traumatic episode was a fracture/dislocation of the talus. An interesting aspect of this injury is that the body of the talus dislocated laterally, distal to the fibular malleolus. Closed reduction was attempted and subsequent open reduction with internal fixation was performed. The patient was followed for 9 months, during which time a series of radiographs was taken. Nine months postoperatively, Hawkins sign was negative indicative of avascular necrosis. In review of the literature, no fractures with lateral dislocations of this nature were found.
作者报告了一名18岁的患者，其右踝关节遭受了两部分损伤。这次创伤事件的结果是距骨骨折/脱位。该损伤的一个有趣之处在于距骨体在腓骨外踝远端向外侧脱位。尝试了闭合复位，随后进行了切开复位内固定。对患者进行了9个月的随访，在此期间拍摄了一系列X光片。术后9个月，霍金斯征为阴性，提示无血管性坏死。在文献回顾中，未发现这种性质的外侧脱位骨折。
