法国腓骨骨折(Maisonneuve骨折)

MD Jorge del Castillo , MD Joel M. Geiderman
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引用次数: 15

摘要

两例踝关节因旋转创伤而受伤的患者仅抱怨踝关节疼痛。仔细检查发现腓骨近端有压痛。随后的x线研究显示腓骨高度螺旋骨折,最初由Maisonneuve描述。Maisonneuve骨折是由踝关节周围韧带断裂导致的骨分离引起的。根据损伤机制对腓骨损伤的分类,Maisonneuve骨折是由于足相对于胫骨的外旋引起的,但在损伤过程中足是旋前还是旋后或活动尚不清楚。
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The Frenchman's fibular fracture (Maisonneuve fracture)

Two patients with injuries to the ankle sustained by rotational trauma complained only of pain in the ankle. Careful examination revealed tenderness over the proximal fibula. Subsequent radiographic studies revealed high helical fracture of the fibula, as originally described by Maisonneuve. The Maisonneuve fracture is produced by diastasis — a separation of bones resulting from rupture of ligaments around the ankle. According to classification of fibula injuries by mechanism of injury, the Maisonneuve fracture is due to external rotation of the foot relative to the tibia but it is not clear whether the foot is in pronation or supination or moves during injury.

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