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首页> 外文期刊>Cases Journal >Closed subtalar dislocation with non-displaced fractures of talus and navicular: a case report and review of the literature
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Closed subtalar dislocation with non-displaced fractures of talus and navicular: a case report and review of the literature

机译：闭合距骨下脱位合并距骨和舟状骨折的非移位：病例报告并文献复习

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摘要

Closed subtalar dislocations associated with talus and navicular fractures are rare injuries. We report on a case of a 43-year-old builder man with medial subtalar dislocation that was further complicated by minimally displaced talar and navicular fractures. Successful closed reduction under general anesthesia was followed by non-weight bearing and ankle immobilization with a below-knee cast for 6 ;weeks. At 3 years post-injury, the subtalar joint was stable, the foot and ankle mobility was in normal limits and the patient could still work as a builder. However, he complained for occasionally mild pain due to the development of post-traumatic arthritis in subtalar and ankle joints. Our search in literature revealed that conservative treatment of all the successfully reduced and minimally displaced subtalar fracture-dislocations has given superior results compared to surgical management. However, even in cases with no or slight fracture displacement, avascular necrosis of the talus or arthritis of the surrounding joints can compromise the final functional outcome.
机译：与距骨和舟状骨折相关的闭合性距下脱位是罕见的损伤。我们报道了一名43岁的距骨内侧下脱位的建筑工人，该病例由于距骨和髋臼骨折的最小移位而变得更加复杂。在全身麻醉下成功闭合闭合复位，然后负重和踝关节固定并用膝下石膏固定6周。受伤3年后，距下关节稳定，脚和踝关节活动度处于正常范围，患者仍可作为建筑工人。然而，他抱怨由于距下和踝关节创伤后关节炎的发展，偶尔会出现轻微疼痛。我们在文献中的搜索显示，与手术治疗相比，保守治疗所有成功复位且移位最小的距骨下骨折脱位已获得了优异的结果。但是，即使在没有骨折移位或骨折移位很小的情况下，距骨的血管坏死或周围关节的关节炎也会损害最终的功能结局。

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