踝关节骨折合并腓骨短肌腱断裂一例报告  

Peroneus brevis tendon rupture in ankle fracture:a case report

作　　者：张峰[1] 黄雷[1] 汪海清[1] 许文博[1] 姚陆丰[1] 朱彦昭[1] 申成春[1] 任昊旸 Zhang Feng;Huang Lei;Wang Haiqing;Xu Wenbo;Yao Lufeng;Zhu Yanzhao;Shen Chengchun;Ren Haoyang(Department of Foot and Ankle Surgery,Ningbo No. 6 Hospital,Ningbo 315040,China)

机构地区：[1]宁波市第六医院足踝外科,315040

出　　处：《中华骨科杂志》2019年第9期585-588,共4页Chinese Journal of Orthopaedics

摘　　要：报道1例踝关节骨折合并腓骨短肌腱断裂的病例。患者因扭伤致右侧踝关节肿痛、活动受限就诊。通过病史、体格检查和影像学检查确诊为右侧踝关节骨折,Lauge-Hansen分型为旋后内收型。对右侧踝关节骨折行切开复位内固定术,缝合时探查发现腓骨短肌腱断裂,遂予“8”字缝合。通过文献复习,本例损伤机制可能为腓骨骨折端受到的内翻应力直接作用于腓骨短肌腱,腓骨短肌腱因瞬间受到超负荷的向外下方的张力而出现断裂。对旋后内收型踝关节骨折,术前及术中应警惕是否合并腓骨短肌腱断裂。This study shows the case of a patient with peroneus brevis tendon rupture in ankle fracture.The patient complained of swelling,pain and activity limitation in her right ankle caused by sprain.She was diagnosed with ankle fracture,supination-adduction(Lauge-Hansen typing)by medical history,physical examination and imaging.The peroneus brevis tendon was noted complete ruptured when suturing the incision after ORIF,which was then repaired by“8”shaped suture.Based on literature review,the injury mechanism of the case may be because of overload inversion force toward to lateral inferior from the fracture of fibula on the peroneus brevis tendon.Additional attention should be paid to patients who suffered from an supination-adduction ankle fracture for whether peroneus brevis tendon tears before and during surgery.

关 键 词：腓骨短肌腱 踝关节骨折 肌腱断裂 切开复位内固定术 “8”字缝合 踝关节肿痛 影像学检查 体格检查 

分 类 号：R687.3[医药卫生—骨科学]