Bimalleolar Fracture after Spinal Cord Injury: A casereport

Authors

Shie-Fu Shieh
Huey-Wen Liang
Wen-Hsung Hou
Yen-Ho Wang
Shih-Fong Huang

Translated Title

脊髓損傷併發雙踝骨折：病例報告

Abstract

The incidence of fracture is higher in patients with chronic spinal cord injury (SCI), particularly female and elderly patients, than in healthy people. Functional impairment due to SCI may lead to accidental falls and fractures, most of which are due to trivial injury or without known trauma. In addition, the inevitable osteoporosis in the paralyzed limbs of individuals with chronic SCI increases their risk of fracture. The lower limbs are more often involved than the upper limbs. Because of the sensory impairment associated with SCI, fractures may be difficult to diagnose, and treatment may be delayed. The treatment of fractures in patients with chronic SCI usually differs from general principles in that conservative treatment with orthoses is considered first. We report a patient with chronic SCI who had bimalleolar fractures caused by an accidental fall. This patient ignored the fracture and went to hospital 4 days after the injury because of fever and general malaise. To our knowledge, this is the first report of bimalleolar fractures in SCI. The proper prevention, diagnosis, and treatment of this injury were discussed.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2005.33(4)10

First Page

261

Last Page

267

Recommended Citation

Shieh, Shie-Fu; Liang, Huey-Wen; Hou, Wen-Hsung; Wang, Yen-Ho; and Huang, Shih-Fong (2005) "Bimalleolar Fracture after Spinal Cord Injury: A casereport," Rehabilitation Practice and Science: Vol. 33: Iss. 4, Article 10.
DOI: https://doi.org/10.6315/2005.33(4)10
Available at: https://rps.researchcommons.org/journal/vol33/iss4/10