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- Title
족관절 후과 단독 골절의 치료.
- Authors
김지훈; 차성무; 조대연; 서진수
- Abstract
Purpose: An isolated posterior malleolar fracture in the ankle is very rare. We treated eight cases of isolated posterior malleolar fracture, and describe the clinical features and outcomes of treatment. Materials and Methods: Between from March 2008 to February 2012, eight cases of isolated posterior malleolar fracture were treated in Ilsan Paik Hospital. The mean age of patients was 30 years (11-49 years); six patients were male and five were right. Slip down (4 cases) was the most common injury mechanism. We treated four cases surgically, three cases by cast and one case by ankle brace. We could not recognize three cases of isolated posterior malleolar fracture at first. The time delay to diagnose unrecognized isolated posterior malleolar fracture was nine days, 56 days and 110 days respectively. We were able to diagnose the unrecognized isolated posterior malleolar fracture using computed tomography (two cases) and magnetic resonance imaging (one case). Results: The main symptom was painful swelling. The average for articular involvement of the posterior malleolar fragment was average 21.4%, and average displacement was 1.25 mm. We treated three cases surgically using a posterior lateral approach and one case using a posterior medial approach. The average American Orthopaedic Foot and Ankle Society score was 92.5 at the last follow-up. Conclusion: The isolated posterior malleolar fracture is very rare and if it is neglected, persistent ankle pain can remain. Isolated posterior malleolus fracture should be included as one of the differential diagnoses after ankle trauma.
- Subjects
ANKLE fractures; HEALTH outcome assessment; PAIN management; ARTICULAR ligaments; EDEMA; MAGNETIC resonance imaging; THERAPEUTICS
- Publication
Journal of the Korean Orthopaedic Association / Daehan Jeonghyeong Oe'gwa Haghoeji, 2014, Vol 49, Issue 1, p29
- ISSN
1226-2102
- Publication type
Article
- DOI
10.4055/jkoa.2014.49.1.29