13 KB236 KB12 KB192920262001Dolenc, Igorštevilka:11letnik:70str. 657-659ISSN:1318-0347COBISSID:14272473URN:URN:NBN:SI:doc-WIHCB3TAslSlovensko zdravniško društvoZdravniški vestnikChildDislocationsDislokacijeInjuriesIzid zdravljenjaizpahOsteoarthritisOsteoartritisOtrokpoškodbeRadiographyTalusTarsal bonesTarzalne kostiTherapyTreatment outcomezdravljenjeZaprt popolni izpah talusa - prikaz primera| Closed talar dislocation - a case report|Background. A case report of closed complete talar dislocation and its treatment is presented. At the operative reduction of the talus some connective tissue was observed bridging the talar caput with the surrounding structures. Talar bone scan at that time revealed irregular accumulation of the isotope. Six months post injury x-ray of the previously injuried talus showed normal spongious bone structure, and repeated bone scan revealed normalvascularisation. Conclusions. The injurted lower extremity was immobilized for five and a half months and weight-bearing was restricted for nine and a half months altogether. Five years later the patient is asymptomatic. The range of motion of the previously injuried ankle is normal. X-ray control reveals initial signs of osteoarthritis at the talocalcanear jointsIzhodišča. Avtor prikazuje primer popolnega zaprtega izpaha talusa in njegovo zdravljenje. Ob repoziciji so operativno odkrili trak veziva; ki je povezoval glavico talusa z okolišnjimi strukturami. Rentgenski posnetki so trinajst tednov po poškodbi kazali subhondralno sklerozo kupole talusa in vakuolaste spremembe spongioze v tem predelu. Scintigrafija talusa je pokazala neenakomerno kopičenje izotopa. Šest mesecev in pol po poškodbi je rentgenogram desnega gležnja pokazal normalno strukturo spongioze talusa, ponovna scintigrafija te kosti pa je izk jučila aseptično nekrozo. Zaključki. Bolnica je imela poškodovano nogo imobilizirano pet mesecev in pol, razbremenjevala pa jo je devet mesecev in pol po poškodbi. Po petih letih je pacientka brez kliničnih težav Prej poškodovani gleženj je normalno razgiban. Na rentgenogramu tega dela telesa je opaziti začetne znake artroze v talokalkanearnih sklepihTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo