Medial Malleolar Fracture Combined with Deltoid Ligament Rupture - one case report -

삼각 인대 파열을 동반한 족근 관절 내과 골절 - 1예 보고 -

  • Chu, In-Tak (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Park, Seong-Jin (Department of Orthopaedic Surgery, St. Paul's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kim, Yang-Soo (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Kim, Young-Hoon (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine) ;
  • Lee, Jun-Seok (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine)
  • 주인탁 (가톨릭대학교 의과대학부속 강남성모병원 정형외과) ;
  • 박성진 ;
  • 김양수 (가톨릭대학교 의과대학부속 강남성모병원 정형외과) ;
  • 김영훈 (가톨릭대학교 의과대학부속 강남성모병원 정형외과) ;
  • 이준석 (가톨릭대학교 의과대학부속 강남성모병원 정형외과)
  • Published : 2002.12.01

Abstract

Authors report one patient of concurrent fracture of medial malleolus and rupture of deltoid ligament. To the author's knowledge, combined failure of both structures has not been previously reported in Korea. Injury mechanism was classified into pronation -abduction type according to Lauge-Hansen classification. Plain radiograph revealed trimalleolar fracture and posterior ankle dislocation. MRI showed complete rupture of both deep and superficial layer of the deltoid ligament. In conclusion, therefore, concurrent rupture of deltoid ligament should be considered for the surgical treatment in trimalleolar ankle fracture with posterior ankle dislocation resulted from pronation-adduction injury.

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