[ 會員#26379 ] Fion Chan
ATFL - Avulsion fracture
病患者女 - 41歲
左腳拗柴後照MRI,發現撕裂性骨折(碎骨黐住韌帶)。因是舊患,碎骨不會自行生番埋,消腫後按下會痛。想問是否要做手術將碎骨連接番,令韌帶發揮正常作用?如不做手術,將來會否有嚴重後果?
MRI Findings: There is a cortical avulsion fracture (2.7x1.4mm) of the anterior distal fibula where the ATFL attaches to.
No dislocation, or gross degenerative change is detected about the left ankle joint. There is minimal fluid within the joint, within physiologic limits. No marrow edema is detected about the joint. There is no evidence of osteochondral defect.
左腳拗柴後照MRI,發現撕裂性骨折(碎骨黐住韌帶)。因是舊患,碎骨不會自行生番埋,消腫後按下會痛。想問是否要做手術將碎骨連接番,令韌帶發揮正常作用?如不做手術,將來會否有嚴重後果?
MRI Findings: There is a cortical avulsion fracture (2.7x1.4mm) of the anterior distal fibula where the ATFL attaches to.
No dislocation, or gross degenerative change is detected about the left ankle joint. There is minimal fluid within the joint, within physiologic limits. No marrow edema is detected about the joint. There is no evidence of osteochondral defect.
謝謝來信,ATFL並非踝關節唯一的靱帶,而靱帶癒合亦未以骨癒合為準,也可以由局部纖維組織相連以達穩定踝關節的效果,要手術治療舆否,應由醫生看關節的實際穩定程度,和你的工作生活實際需要去決定,一般較年輕較活躍,較有頻繁走動需要的傷者傾向用手術治療。
以上資料只供參考,不能作診症用途,
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診,切勿延誤治療。
若資料有所漏誤,本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診,切勿延誤治療。
若資料有所漏誤,本網及相關資料提供者恕不負責。
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