PDF(Pubmed)
Abstract：
BACKGROUND: Medial malleolus injuries mainly comprise of fractures and deltoid ligament ruptures. Medial malleolus fractures, as a kind of common ankle fractures, could occur separately or be accompanied by lateral and posterior malleolus fractures. It is generally agreed that medial malleolus fracture and deltoid ligament rupture could not occur simultaneously.
METHODS: In our study, we report a case of 36 year-old man diagnosed with trimalleolar fracture accompanying ankle dislocation initially. The patient was admitted to our hospital due to traffic accident.
METHODS: The patient was diagnosed with trimalleolar fracture accompanying ankle dislocation initially. We missed the diagnosis of accompanied deltoid ligament due to the arthralgia of medial ankle and the widened medial articular space in X-ray after operation.
METHODS: As we missed the diagnosis of accompanied deltoid ligament, we only selected open reduction and internal fixation for trimalleolar fracture at first. After we realized the existence of deltoid ligament rupture, the patient refuse further diagnosis and treatment in our hospital.
RESULTS: During the rehabilitation exercise, the patient had medial arthralgia in his right ankle. He complained it and refuse further diagnosis and treatment in our hospital.
CONCLUSIONS: The newfound injury pattern, medial malleolus fracture accompanying deltoid ligament rupture, has not been reported in previous studies. The injury pattern needs further researches to explore the mechanism and it should be taken seriously in clinical practice.
METHODS: In our study, we report a case of 36 year-old man diagnosed with trimalleolar fracture accompanying ankle dislocation initially. The patient was admitted to our hospital due to traffic accident.
METHODS: The patient was diagnosed with trimalleolar fracture accompanying ankle dislocation initially. We missed the diagnosis of accompanied deltoid ligament due to the arthralgia of medial ankle and the widened medial articular space in X-ray after operation.
METHODS: As we missed the diagnosis of accompanied deltoid ligament, we only selected open reduction and internal fixation for trimalleolar fracture at first. After we realized the existence of deltoid ligament rupture, the patient refuse further diagnosis and treatment in our hospital.
RESULTS: During the rehabilitation exercise, the patient had medial arthralgia in his right ankle. He complained it and refuse further diagnosis and treatment in our hospital.
CONCLUSIONS: The newfound injury pattern, medial malleolus fracture accompanying deltoid ligament rupture, has not been reported in previous studies. The injury pattern needs further researches to explore the mechanism and it should be taken seriously in clinical practice.
摘要：
背景：内踝损伤主要包括骨折和三角肌韧带断裂。内踝骨折,作为一种常见的踝关节骨折,可单独发生或伴有外踝和后踝骨折。一般认为不能同时发生内踝骨折和三角肌韧带断裂。
方法：在我们的研究中，我们报告了一例36岁的男性患者，最初诊断为三踝骨折伴踝关节脱位。患者因交通事故入院。
方法：患者最初诊断为三踝骨折伴踝脱位。由于踝关节内侧关节痛和术后X线内侧关节间隙扩大，我们错过了伴有三角肌韧带的诊断。
方法：由于我们错过了伴发三角肌韧带的诊断，我们最初只选择切开复位内固定治疗三踝骨折。在我们意识到三角韧带断裂的存在后，患者拒绝在我们医院进一步诊断和治疗。
结果：在康复锻炼期间，患者右脚踝有内侧关节痛。他抱怨并拒绝在我们医院进行进一步的诊断和治疗。
结论：新发现的损伤模式，内侧踝骨折伴随三角肌韧带断裂,在以前的研究中没有报道。损伤模式需要进一步研究以探讨其机制，应在临床实践中引起重视。
方法：在我们的研究中，我们报告了一例36岁的男性患者，最初诊断为三踝骨折伴踝关节脱位。患者因交通事故入院。
方法：患者最初诊断为三踝骨折伴踝脱位。由于踝关节内侧关节痛和术后X线内侧关节间隙扩大，我们错过了伴有三角肌韧带的诊断。
方法：由于我们错过了伴发三角肌韧带的诊断，我们最初只选择切开复位内固定治疗三踝骨折。在我们意识到三角韧带断裂的存在后，患者拒绝在我们医院进一步诊断和治疗。
结果：在康复锻炼期间，患者右脚踝有内侧关节痛。他抱怨并拒绝在我们医院进行进一步的诊断和治疗。
结论：新发现的损伤模式，内侧踝骨折伴随三角肌韧带断裂,在以前的研究中没有报道。损伤模式需要进一步研究以探讨其机制，应在临床实践中引起重视。
