Jensen I, Wester J U, Rasmussen F, Lindequist S, Schantz K
Department of Diagnostic Radiology, Odense University Hospital, Denmark.
Acta Orthop Scand. 1994 Aug;65(4):398-400. doi: 10.3109/17453679408995478.
14 children suffering from a fracture of the talar neck or body were examined after 21 (7-34) years. The talar neck was fractured in 10 children and the talar body in 4.3 fractures were displaced and primarily treated with reduction and immobilization. Nondisplaced fractures were treated conservatively. All fractures healed. All patients with displaced fractures had exercise-induced pain at follow-up. Of 11 patients with nondisplaced fractures only 1 had minor complaints. CT and conventional radiographs showed arthrosis in the talocrural joint and normal subtalar joints in those with displaced fractures. The radiographic findings were normal after nondisplaced fractures.
对14名患有距骨颈或距骨体骨折的儿童在21（7 - 34）年后进行了检查。10名儿童为距骨颈骨折，4名儿童为距骨体骨折。3例骨折发生移位，最初采用复位和固定治疗。无移位骨折采用保守治疗。所有骨折均愈合。所有移位骨折患者在随访时均有运动诱发疼痛。11例无移位骨折患者中只有1例有轻微不适。CT和传统X线片显示，移位骨折患者的踝关节有骨关节炎，距下关节正常。无移位骨折后影像学检查结果正常。
