PDF(Pubmed)
Abstract：
UNASSIGNED: Isolated subtalar joint dislocations without associated fractures are rare in the medical literature. They occur when the talus bone remains in place while the calcaneus and navicular bones shift out of place. These dislocations account for about 15% of talus bone injuries and 1 to 2% of all joint dislocations. They are more common in young men following inversion trauma.
UNASSIGNED: This study aims to improve the understanding of diagnosis, treatment, and management of these rare injuries for better patient care.
UNASSIGNED: 17-year-old male patient with type 1 diabetes mellitus presented to the emergency department with severe ankle pain and swelling following an inversion injury, which rendered him unable to walk or stand. Despite his chronic condition, he was hemodynamically stable, with no neurovascular deficits but an apparent deformity in the left ankle. Treatment involved pain management with morphine, successful closed reduction under ketamine sedation, and immobilization. Follow-up radiographs and a CT scan revealed no fractures but indicated soft tissue edema, joint effusion, and subsequent osteopenia. At a three-month follow-up, the patient experienced ongoing pain and weight-bearing difficulties, diagnosed as complicated pain syndrome requiring further physiotherapy and rehabilitation.
UNASSIGNED: This case highlights the clinical challenges and complications in managing isolated subtalar joint dislocations, particularly in patients with systemic health issues, and contributes valuable insights to the sparse literature on this topic.
UNASSIGNED: This study aims to improve the understanding of diagnosis, treatment, and management of these rare injuries for better patient care.
UNASSIGNED: 17-year-old male patient with type 1 diabetes mellitus presented to the emergency department with severe ankle pain and swelling following an inversion injury, which rendered him unable to walk or stand. Despite his chronic condition, he was hemodynamically stable, with no neurovascular deficits but an apparent deformity in the left ankle. Treatment involved pain management with morphine, successful closed reduction under ketamine sedation, and immobilization. Follow-up radiographs and a CT scan revealed no fractures but indicated soft tissue edema, joint effusion, and subsequent osteopenia. At a three-month follow-up, the patient experienced ongoing pain and weight-bearing difficulties, diagnosed as complicated pain syndrome requiring further physiotherapy and rehabilitation.
UNASSIGNED: This case highlights the clinical challenges and complications in managing isolated subtalar joint dislocations, particularly in patients with systemic health issues, and contributes valuable insights to the sparse literature on this topic.
摘要：
■孤立的距下关节脱位而没有相关骨折在医学文献中很少见。它们发生在距骨保持在原位而跟骨和舟骨移位的位置时。这些脱位约占距骨损伤的15％，占所有关节脱位的1至2％。它们在倒置创伤后的年轻男性中更常见。
■这项研究旨在提高对诊断的理解，治疗,和管理这些罕见的伤害更好的病人护理。
■一名17岁的男性1型糖尿病患者因倒置损伤后脚踝严重疼痛和肿胀被送往急诊科，这使他无法行走或站立。尽管他有慢性病,他血流动力学稳定,没有神经血管缺陷，但左脚踝有明显的畸形。治疗包括吗啡疼痛管理，在氯胺酮镇静作用下成功封闭还原，和固定。随访X线片和CT扫描显示无骨折，但显示软组织水肿，关节积液,以及随后的骨量减少。在三个月的随访中，患者经历了持续的疼痛和负重困难，诊断为复杂的疼痛综合征，需要进一步的物理治疗和康复。
此病例突出了治疗孤立性距下关节脱位的临床挑战和并发症，特别是在有全身健康问题的患者中，并为有关该主题的稀疏文献贡献了宝贵的见解。
■这项研究旨在提高对诊断的理解，治疗,和管理这些罕见的伤害更好的病人护理。
■一名17岁的男性1型糖尿病患者因倒置损伤后脚踝严重疼痛和肿胀被送往急诊科，这使他无法行走或站立。尽管他有慢性病,他血流动力学稳定,没有神经血管缺陷，但左脚踝有明显的畸形。治疗包括吗啡疼痛管理，在氯胺酮镇静作用下成功封闭还原，和固定。随访X线片和CT扫描显示无骨折，但显示软组织水肿，关节积液,以及随后的骨量减少。在三个月的随访中，患者经历了持续的疼痛和负重困难，诊断为复杂的疼痛综合征，需要进一步的物理治疗和康复。
此病例突出了治疗孤立性距下关节脱位的临床挑战和并发症，特别是在有全身健康问题的患者中，并为有关该主题的稀疏文献贡献了宝贵的见解。
