Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of.docVIP
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Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of
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Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of
Author: Hujun Yong, Li Zhanchun, Yu-min, Xudong Liang
Abstract [Objective] To sum up the rear ankle joints of occult osteochondral avulsion fracture of small pieces of clinical data and explore its pathogenesis, clinical features and treatment. [Methods] Retrospective analysis of 6 cases of patient information. September 2003 ~ June 2006 were treated in 6 patients, 4 males and 2 females, aged from 27 to 38 years. 6 cases have a clear history of ankle sprain, no obvious fracture or dislocation and the early line of conservative treatment, 2 cases were not fixed to the four cases of cast immobilization for 3 weeks. After injury in all cases both rear ankle joints continued pain and tenderness, walking and resting have a sense of pain, pain behind the lower leg or foot may apply to the radiation. 6 patients were not diagnosed the injury was avulsion fracture 4 months after injury, 1 year hospital, X-ray photography can be seen behind the ankle bone films of the small, anteroposterior films may be obvious, including 4 patients with CT examination revealed ankle posterior articular fracture of a small piece of its parts with the parts of the same clinical symptoms. 6 patients are therefore correspondingly surgery. According to X-ray films and CT shows fracture site selection within or outside the rear of the rear ankle joint approach revealed the rear of surgery see the intra-articular joint capsule attachment bone fragments are small pieces of cartilage avulsion, excision of bone pieces, functional spaces cast immobilization ankle after the verdict, Shimoji 1 week to walk. [Results] 6 patients were in the post-operative symptoms were followed up for 6 months to 2 years (average 1 year and 4 months) without recurrence. [Conclusion] small piece of bone behind the ankle joint cartilage avulsion fracture of the clinical manifestati
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