PDF(Pubmed)
Abstract：
Pediatric ankle fractures are prevalent injuries that make up a notable portion of all periphyseal injuries. The Salter-Harris classification is the most popular classification about physeal and periepiphyseal injuries. Ogden expanded on this and described type 7 fractures which are completely intraepiphyseal and include propagation of the fracture from the articular surface through the epiphyseal cartilage and do not involve the physis. These injuries are common about the distal fibula in pediatric patients with supination-inversion type injuries. There are no specific guidelines or recommendations on treatment of these injuries in the literature. We present three cases of this injury pattern and describe our chosen management that leads each patient to full, painless ankle range of motion and return to all prior activities and sports without complication. Supination-inversion type pediatric ankle fractures are common injuries that all orthopaedic surgeons will encounter at some point throughout their practice or training. Recognizing fracture variants and understanding treatment options of pediatric ankle fractures are important for the orthopaedic community as a whole.
摘要：
小儿踝关节骨折是常见的损伤，占所有周围密封损伤的重要部分。Salter-Harris分类是关于physeal和epi骨周围损伤的最流行的分类。Ogden对此进行了扩展，并描述了7型骨折，这些骨折完全是骨phy内骨折，包括骨折从关节表面通过骨phy软骨的传播，不涉及phy。这些损伤在患有旋后倒置型损伤的儿科患者的腓骨远端很常见。文献中没有关于这些损伤的治疗的具体指南或建议。我们介绍了这种损伤模式的三例，并描述了我们选择的管理方法，该方法可使每位患者达到完全，无痛的踝关节活动范围，并恢复到所有先前的活动和运动，没有并发症。旋后倒置型小儿踝关节骨折是所有整形外科医生在整个实践或训练中的某个时候都会遇到的常见损伤。识别骨折变异并了解小儿踝关节骨折的治疗方案对整个骨科社区很重要。
