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[跟舟联合骨折。创伤后踝关节疼痛的一种罕见鉴别诊断]

[Calcaneonavicular coalition fracture. A rare differential diagnosis of post-traumatic ankle pain].

作者信息

Ochman S, Vordemvenne T, Rosenbaum D, Raschke M J, Langer M

机构信息

Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum, Waldeyerstrasse 1, 48149 Münster, Deutschland.

出版信息

Unfallchirurg. 2008 Nov;111(11):944-50. doi: 10.1007/s00113-008-1437-5.

Abstract

The causes of chronic posttraumatic ankle pain are manifold, ranging from ligament and tendon injuries and fractures to joint degeneration. Calcaneonavicular coalition, a bridge between the calcaneus and navicular bones, is a rare disease with an incidence below 1%. The morphology of this coalition is variable. It can occur as either a fibrous, cartilaginous or bony union of the involved bones. Symptoms usually occur in adolescence with chronic pain around the ankle, mainly lateral and anterior, following distortion trauma. Patients often claim to have a lateral ankle sprain. We report 2 cases of a fracture of the calcaneonavicular coalition as the cause of chronic posttraumatic ankle pain and demonstrate the characteristics of tarsal coalitions with a review of the literature.

摘要

创伤后慢性踝关节疼痛的病因多种多样,从韧带和肌腱损伤、骨折到关节退变。跟舟联合,即跟骨与舟骨之间的桥接,是一种罕见疾病,发病率低于1%。这种联合的形态多样。它可表现为受累骨骼的纤维性、软骨性或骨性连接。症状通常在青春期出现,踝关节周围慢性疼痛,主要在外侧和前方,发生于扭伤创伤之后。患者常称有外侧踝关节扭伤。我们报告2例以跟舟联合骨折为创伤后慢性踝关节疼痛病因的病例,并结合文献复习阐述跗骨联合的特征。

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