骨科英文书籍精读（343）｜腓骨近端骨折
我们正在精读国外经典骨科书籍《Apley’s System of Orthopaedics and Fractures》，想要对于骨科英文形成系统认识，为以后无障碍阅读英文文献打下基础，请持续关注。
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FRACTURE OF PROXIMAL END OF FIBULA
Fracture of the proximal end of the fibula may be caused by either direct injury or an indirect twisting injury of the lower limb. Beware: an isolated fracture of the proximal fibula is rare; it may be merely themost visible part of a more extensive rotational injury of the leg involving a serious fracture or ligament injury of the ankle (the Maisonneuve fracture) or a major disruption of the posterolateral corner of the knee. Always x-ray the ankle and check for knee stability!
The fracture itself is of little consequence and it requires no treatment. However, associated injuries are frequent and they may result in prolonged disability.
Complications
Associated injuries Associated lesions, which should be looked for in every case, are: (1) the ankle injury mentioned earlier; (2) peroneal nerve injury; (3) lateral collateral ligament injury – more usually a disruption of this ligament and the posterolateral corner – especially if the fibula styloid is avulsed; (4) peroneal nerve entrapment – an occasional late complication. Each of these conditions requires specific treatment.
---from 《Apley’s System of Orthopaedics and Fractures》
重点词汇整理：
The fracture itself is of little consequence骨折本身没什么大不了的
consequence /ˈkɑːnsɪkwens/n. 结果；重要性；推论
peroneal nerve腓神经,腓总神经
peroneal /,perə'ni:əl/adj. 腓骨的；腓侧的
peroneal nerve entrapment腓总神经卡压综合征
entrapment /ɪnˈtræpmənt/n. 诱捕；圈套；截留
有道翻译（仅供参考，建议自己翻译）：
腓骨近端骨折
腓骨近端骨折可由下肢直接损伤或间接扭转损伤引起。注意：孤立性腓骨近端骨折是罕见的；它可能只是更广泛的腿部旋转损伤中最明显的部分，包括严重的踝关节骨折或韧带损伤（Maisonneuve骨折）或膝关节后外侧角的严重断裂。经常给脚踝拍x光片，检查膝盖的稳定性！
骨折本身影响不大，不需要治疗。然而，相关的伤害是经常发生的，他们可能会导致长期残疾。
并发症
相关损伤-在任何情况下都应注意的相关损伤有：（1）前面提到的踝关节损伤；（2）腓神经损伤；（3）侧副韧带损伤-通常是韧带和后外侧角断裂-尤其是腓骨茎突撕裂时；（4）腓神经卡压–偶尔的晚期并发症。每种情况都需要特殊治疗。