开放性内侧腹膜脱位:关于一个病例

R. Maroto-Rodríguez, Pablo Fernández-Villacañas Mínguez, J. Payo-Rodríguez
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摘要

摘要:肱骨外侧壁脱位是一种罕见的病变,通常发生于活跃的年轻男性,是高能量创伤的结果。根据跟骨相对距骨的方向,它们被分为几种类型。这项工作的目的是提出一个临床病例开放的medial peritalar脱位无相关骨折。临床病例:19岁男子在公共道路上骑电动滑板车发生交通事故后到急诊室就诊。到达时,患者外踝处有1-2厘米的切口挫伤,有压痛和肿胀,并出现“后天性内翻足”畸形。结果:行脊髓麻醉下闭合复位、清洗、创面缝合、放射控制检查关节稳定性、填充闭合石膏固定。放射学对照显示关节一致,6周后取出石膏。在此之后,患者接受了康复,部分负荷和物理治疗,最终功能效果非常好。结论:早期诊断和麻醉下复位是避免后期并发症的重点。忽视相关损伤如骨折或不稳定是预后的优先考虑因素。恢复和
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Luxación peritalar medial abierta: a propósito de un caso
reha-ABSTRACT Open medial peritalar dislocation: a case report Introduction: peritalar dislocation is a rare lesion that generally occurs in active young men as a result of high-energy trauma. They are classified into several types according to the direction of the calcaneus in relation to the talus. The objective of this work is to present a clinical case of an open medial peritalar dislocation without associated fractures. Clinical case: 19-year-old man who went to the Emer-gency Department after suffering a traffic accident with an electric scooter on public roads. Upon his arrival, he presented a 1-2 cm incised-contused wound on the exter-nal malleolus, tenderness and swelling, and an “acquired clubfoot” deformity. Results: closed reduction under spinal anesthesia, wash-ing, wound suture, checking joint stability by radiological control and immobilization with padded closed plaster were performed. Radiological controls were carried out that showed joint congruence, the cast was removed after 6 weeks. After this, the patient underwent rehabilitation, partial load and physiotherapy with very good final func-tional results. Conclusion: early diagnosis and reduction under anesthesia are a priority to avoid later complications. Dis-miss associated injuries such as fractures or instabil-ities is a priority for the prognosis. Rehabilitation and
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