tailieunhanh - báo cáo hóa học:" The Edinburgh variant of a talar body fracture: a case report"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : The Edinburgh variant of a talar body fracture: a case report | Clement et al. Journal of Orthopaedic Surgery and Research 2010 5 92 http content 5 1 92 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access The Edinburgh variant of a talar body fracture a case report Nicholas D Clement Sally-Ann Phillips Leela C Biant Abstract We describe a novel closed pantalar dislocation with an associated sagittal medial talar body and medial malleolus fractures. Closed reduction was attempted unsuccessfully. Open reduction was performed revealing a disrupted talonavicular joint with instability of the calcaneocuboid joint. This configuration required stabilisation with an external fixator. There were no signs of avascular necrosis or arthrosis at 15 months follow but is currently using a stick to mobilise. Introduction Talar fractures account for of all fractures with an incidence of per 100 000 and are predominantly a male injury 82 18 1 . Talar body fractures occur in only 7 to 38 of all talar fractures 2-10 . Sneppen et al 11 classified talar body fractures into five distinct groups compression talocrural joint shearing coronal or sagittal posterior tubercle lateral tubercle and crush fractures. The Orthopaedic Trauma Association 12 and Delee 13 have since further classified these fractures but no classification to date recognises a pantalar dislocation associated with a talar body facture. We describe a previously unclassified closed pantalar dislocation with an associated sagittal medial talar body and medial malleolus fractures. Case report A 32 year old postman fell whilst walking in a forest sustaining a hyper plantar flexion and external rotation injury to his right ankle. He presented to the Accident and Emergency department with a grossly swollen and deformed right ankle. The skin was intact with a minor abrasion over the lateral malleolus. There was no neurovascular deficit. Radiographs demonstrated a fracture of the talar body and the medial malleolus with dislocation of the talus .

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