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首页> 外文期刊>BMC Musculoskeletal Disorders >An unusual cause of ankle pain: fracture of a talocalcaneal coalition as a differential diagnosis in an acute ankle sprain: a case report and literature review
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An unusual cause of ankle pain: fracture of a talocalcaneal coalition as a differential diagnosis in an acute ankle sprain: a case report and literature review

机译：踝关节疼痛的不寻常原因：塔罗敏联盟的骨折作为急性踝扭伤中的差异诊断：案例报告和文献综述

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Background The acute ankle sprain is one of the most common injuries seen in trauma departments. Ankle sprains have an incidence of about one injury per 10 000 people a day. In contrast tarsal coalition is a rare condition occurring in not more than one percent of the population. Case presentation We present the case of a 23 year old male patient with pain and local swelling after an acute ankle sprain. Initial clinical and radiological examination showed no pathologies. Due to prolonged pain, swelling and the inability of the patient to weight bear one week after trauma further diagnostics was performed. Imaging studies (MRI and CT) revealed a fracture of a talocalcaneal coalition. To the knowledge of the authors no fracture of a coalition was reported so far. Conclusion This report highlights the presentation of symptomatic coalitions following trauma and furthermore, it points out the difficulties in the diagnosis and treatment of a rare entity after a common injury. A diagnostic algorithm has been developed to ensure not to miss a severe injury.
机译：背景技术急性踝扭伤是创伤部门中最常见的伤害之一。踝关节扭伤每天10 000人的发病率约为一次伤害。相比之下，TATSAL联盟是一种罕见的病情，不超过百分之一的人口。案例介绍我们在急性踝关节扭伤后呈现23岁的男性患者，疼痛和局部肿胀。初始临床和放射学检查显示没有病理学。由于在进行创伤进一步诊断后，由于延长疼痛，患者的重量患者的重量承诺，患者进一步诊断。成像研究（MRI和CT）揭示了塔罗敏联盟的骨折。对提交人的知识没有迄今为止没有报告联盟的骨折。结论本报告突出了创伤后症状联盟的介绍，而且它指出了常见伤害后诊断和治疗难以治疗的困难。已经开发了一种诊断算法，以确保不要错过严重伤害。

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