青少年Tillaux骨折
患者:男,14岁主诉:外伤致左踝疼痛2天
现病史:患者诉2天前因外伤伤及左踝部,伤时轻微疼痛,患侧踝部活动可,无皮肤破损,无深部组织外露,伤后数小时患处逐渐肿胀,疼痛逐渐加剧,患肢不能负重,患踝活动度可,遂至我院急诊就诊
专科检查:视诊:左下肢稍肿胀,未见明显皮肤破溃及骨外露;触诊:左小腿下段环形压痛阳性,局部有异常活动度,可扪及骨擦感:动诊:左踝关节各向主被动活动度尚可,活动时伴轻微疼痛
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作者:褚玥 时寅
来源:江苏省人民医院放射科公众号
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