PDF(Pubmed)
Abstract：
Ankle fractures are among the most common fractures sustained in the pediatric population. Given the frequency of physeal involvement of the distal fragment, complications including growth arrest, overgrowth, and rotational deformities are not uncommon. This case report describes a 12-year-old adolescent boy who presented after an acute right ankle injury sustained while playing. He noted right ankle pain, swelling, and in-toeing of his foot. Radiographs of the ankle demonstrated a distal tibia Salter-Harris type II fracture that appeared nondisplaced. However, a CT scan of the ankle demonstrated a 60° difference in the rotational profile between the injured and noninjured tibias. The patient\'s acute rotational deformity was corrected with closed reduction and percutaneous pinning. Pediatric distal tibia physis fractures presenting with in-toeing are rare and difficult to diagnose accurately with radiographs alone. Accordingly, a detailed history, physical examination, comparison radiographs, and CT scans are imperative in making the correct diagnosis and determining the appropriate treatment.
摘要：
踝关节骨折是儿科人群中最常见的骨折。考虑到远端碎片受累的频率，并发症包括生长停滞，过度生长,旋转畸形并不少见。此病例报告描述了一名12岁的青春期男孩，他在玩耍时遭受急性右脚踝受伤后出现。他注意到右脚踝疼痛，肿胀,和他的脚。踝关节的X线照片显示胫骨远端Salter-HarrisII型骨折未移位。然而,脚踝的CT扫描显示，受伤和未受伤的胫骨之间的旋转轮廓相差60°。患者的急性旋转畸形采用闭合复位和经皮钉扎进行矫正。小儿胫骨远端骨折很少见，仅凭X光片很难准确诊断。因此，详细的历史,体检,比较射线照片，和CT扫描是必要的，以作出正确的诊断和确定适当的治疗。
