TAILIEUCHUNG - Gãy xương lao

Trung tâm Quân y, Honolulu, HI. Tiến sĩ Kim là Trợ lý giáo sư lâm sàng, chỉnh hình phẫu thuật, Đại học Colorado School of Medicine, Denver, CO, và chỉnh hình chân và bác sĩ phẫu thuật mắt cá, Colorado Permanente Medical Group, Denver. Không ai trong số các tác giả sau đây hoặc các phòng ban mà họ là chi nhánh | Process and Tubercle Fractures of the Hindfoot Mark J. Berkowitz MD MAJ MC USA and David H. Kim MD Dr. Berkowitz is Chief Foot and Ankle Section Orthopaedic Surgery Service Tripler Army Medical Center Honolulu HI. Dr. Kim is Assistant Clinical Professor Orthopaedic Surgery University of Colorado School of Medicine Denver CO and Orthopaedic Foot and Ankle Surgeon Colorado Permanente Medical Group Denver. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Berkowitz and Dr. Kim. Reprint requests Dr. Berkowitz Tripler Army Medical Center 1 Jarrett-White Road Honolulu HI 96859-5000. J Am Acad Orthop Surg 2005 13 492-502 Copyright 2005 by the American Academy of Orthopaedic Surgeons. Abstract Process and tubercle fractures of the talus and calcaneus can be a source of significant pain and dysfunction. Successful management requires extensive knowledge of the complex osseoligamentous anatomy of the hindfoot. The large posterior process of the talus is composed of a medial and a lateral tubercle an os trigonum may exist posterior to the lateral tubercle. The talus has a lateral process that articulates with the fibula and subtalar joint the calcaneus possesses a frequently injured anterior process that articulates with the cuboid. Injury to these hindfoot structures is caused by inversion and eversion of the ankle which can occur during athletic activity. These injuries often are misdiagnosed as ankle sprains. A high degree of clinical suspicion is warranted and specialized radiographs or other imaging modalities may be required for accurate diagnosis. Nonsurgical management with cast immobilization is frequently successful when the fracture is correctly diagnosed acutely. Large fragments may be amenable to open reduction and internal fixation. Untreated chronic injuries can cause significant

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