Vaquero Martin J, Vicente-Herrera E, Pereiro de Lamo J, Vidal Fernandez C
Department of Orthopaedic Surgery, Hospital General Universitario Gregorio Marañon, Madrid, Spain.
J Pediatr Orthop B. 1999 Jan;8(1):69-71.
Osteochondritis of tarsal cuneiforms is a rare entity, barely reported in the medical literature. To the nine cases previously reported, we add our series with four cases of bilateral lesion of the medial cuneiform. Medial cuneiform osteochondritis may be the cause of foot pain and limping in children ages 4 to 6 years. In three of our four cases, it was a casual finding in feet being studied for some other problems. Only boys were affected, with bilateral lesions and coexistent navicular injury in half of our cases. Evolution was always satisfactory, with clinical and radiologic resolution in a period ranging from 4 to 72 months, and needing only symptomatic relief.
跗骨楔骨骨软骨炎是一种罕见疾病，医学文献中鲜有报道。在先前报道的9例基础上，我们补充了一组4例双侧内侧楔骨病变的病例。内侧楔骨骨软骨炎可能是4至6岁儿童足部疼痛和跛行的原因。在我们的4例病例中，有3例是在因其他问题检查足部时偶然发现的。仅男孩受累，半数病例为双侧病变且并存舟骨损伤。病情转归总是令人满意的，临床和影像学在4至72个月内恢复，仅需对症治疗。
