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Irreducible Total Talar Fracture Dislocation: A Case report

無法復位之全距骨脫位併骨折:病例報告

摘要


全距骨脫位是一少見之骨科疾患,且多為開放性傷朗。立即之開放行復位可避免日後之後遺症。但其診斷敘誤為踝關脫位。 本病例為一四十四歲男性,因騎機車車禍至急診皺,無外傷,且外踝關節完整。閉鎖性復位不能完全,迅速開刀復位。術中發現全距骨脫位併骨折並陷入伸趾肌腱中妨礙復位。 提出此病例可減少在急診室之延遲診斷經由早期之復位達到良好之預後。

關鍵字

距骨 陷入

並列摘要


Total talar dislocation is a rare injury;the open type is usually more frequent. Immediate open reduction can decrease late complications. Misdiagnosis may occur as an ankle dislocation. This case is a 44-year-old male who suffered a traffic accident. No open wound was noted, and the malleolar bones were intact. Closed reduction failed, so emergent open reduction and internal fixation were done. Total talar fracture dislocation was noted, and the talar head was entrapped between the extensor hallucis longus and extensor digitorum longus tendons. Early diagnosis and prompt treatment can produce a good prognosis.

並列關鍵字

talus entrapment

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