Arthroscopic treatment for posteromedial talar process fracture (Cedell fracture): a case report

Carla Fernandes Martins, Patrícia Alexandra Nunes Gomes, Paulo Jorge Reino dos Santos Felicíssimo
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Abstract

Fracture of the posteromedial talar process (Cedell fracture) is a rare injury and is easily misdiagnosed as a simple ankle sprain. Suspicion should be heightened if specific mechanisms of injury are present, and, in these cases, a CT scan should be performed. Significant ankle pain and disability can result if these injuries are not identified and treated properly. Few cases have been described in the literature, and the efficacy of surgical techniques and approaches for fractures of the posterior talar process remains controversial. We report a 56-year-old man with an acute posteromedial talar fracture treated arthroscopically. This approach provides good access to the posterior ankle compartment, subtalar joint, and extraarticular structures, which may allow fracture reduction and fixation under arthroscopic visualization. Level of Evidence V; Therapeutic Studies; Expert Opinion.
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关节镜治疗距骨后内侧突骨折1例
距骨后内侧突骨折(Cedell骨折)是一种罕见的损伤,很容易误诊为单纯的踝关节扭伤。如果存在特定的损伤机制,则应加强怀疑,在这种情况下,应进行CT扫描。严重的踝关节疼痛和残疾可能导致如果这些伤害没有被正确识别和治疗。文献中很少有病例被描述,手术技术和入路治疗距后突骨折的疗效仍然存在争议。我们报告一个56岁的男性急性距骨后内侧骨折经关节镜治疗。该入路提供了良好的进入踝关节后腔室、距下关节和关节外结构的通道,可在关节镜下进行骨折复位和固定。证据水平V;治疗研究;专家的意见。
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