Occult ankle fracture detected by an ankle effusion on plain radiography: A case report |
| |
| Institution: | 1. Department of Emergency Medicine, Vancouver Hospital & Health Sciences Centre, University of British Columbia, Vancouver, British Columbia, Canada;2. Department of Radiology, Vancouver Hospital & Health Sciences Centre, University of British Columbia, Vancouver, British Columbia, Canada;3. Department of Orthopaedics, Vancouver Hospital & Health Sciences Centre, University of British Columbia, Vancouver, British Columbia, Canada;1. Trauma Unit, Academic Medical Center, University of Amsterdam, Meibergdreef 9, PO Box 22660, Amsterdam 1100 DD, The Netherlands;2. University Center for Orthopaedics and Traumatology, University Hospital Carl-Gustav Carus, Fetscherstrasse 74, Dresden 01307, Germany;1. Associate Professor, Department of Orthopedics and Traumatology, Antalya Education and Research Hospital, Antalya, Turkey;2. Assistant Professor, Department of Orthopedics and Traumatology, Gulhane Military Medical Academy, Ankara, Turkey;1. Foot and Ankle Surgery, VSAS Orthopaedics, Lehigh Valley Hospital, 1250 South Cedar Crest Boulevard, Suite # 110, Allentown, PA 18103, USA;2. Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA;3. Reconstructive Foot and Ankle Surgery, Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive MSC 7776, San Antonio, TX 78229, USA;1. Orthopedics and Traumatology Department, Benha Faculty of Medicine, Benha University, Egypt;2. Orthopedics and Traumatology Department, Tanta Faculty of Medicine, Tanta University, Egypt;1. University Center for Orthopaedics and Traumatology, University Hospital Carl-Gustav Carus at TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany;2. Department of Orthopaedic Surgery, Sirindhorn Hospital, Bangkok Metropolitan Administration, 20 Onnuch 90, Prawet, Bangkok 10250, Thailand |
| |
| Abstract: | Subtle ankle fractures may escape detection on plain radiography. These occult fractures can cause prolonged disability and pain. We present a case of blunt ankle trauma where plain radiography failed to reveal any bony abnormalities. The recognition of an ankle effusion on plain radiographs prompted us to perform a computed tomography (CT) scan of the ankle. The CT scan demonstrated an anterior plafond fracture of the distal tibia, which required surgical fixation. Had the fracture not been identified, our patient would have been treated inappropriately for a ligament sprain. An occult fracture should be suspected if an ankle is grossly swollen after blunt trauma, and plain radiography demonstrates an effusion. In this circumstance, performance of further imaging studies, such as conventional or CT, are advised to rule out an occult ankle fracture. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
