Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of.docVIP

Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of.doc

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Rear ankle bone occult small piece of cartilage in the diagnosis and treatment of avulsion fracture of

 PAGE \* MERGEFORMAT 14 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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