距骨后突内结节骨折术后疼痛:1例报告和综述

Postoperative pain of posteromedial process fracture of the talus: A case report and review

摘要:

距骨后突内侧结节骨折，也称为 Cedell 撕脱性骨折或 Cedell 骨折，临床极为罕见，易漏诊。本文结合 1 例临床病例，并对文献进行综述为临床医师提供参考。Cedell 骨折，运动损伤最多 61.3%，高能量损伤次之 38.7%，初诊时漏诊率 64.5%。目前的治疗方法主要是切开复位内固定术、骨块切除术、支具或石膏固定术，根据现有研究还不能指出 Cedell 骨折的典型创伤机制，也不能提出哪一种治疗方案更佳。

Abstract:

Posteromedial process fracture of the talus, also known as Cedell avulsion fracture or Cedell fracture, is extremely rare and prone to be misdiagnosed clinically. This article combines a clinical case report with reviews the literature to provide a reference for clini- cians. The Cedell's fracture was mostly caused by sports injury (61.3%), followed by high-energy injury (38.7%), and missed diagnosis rate was of 64.5% at initial diagnosis. The current treatment methods include mainly open reduction and internal fixation, bone block resection, brace or plaster fixation. Based on current studies, it is not possible to identify the typical traumatic mechanism of Cedell's fracture or sug- gest which treatment option is better.