Micheli Lyle J, Nielson Jason H, Ascani Claudio, Matanky Bryan K, Gerbino Peter G
Division of Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Foot Ankle Spec. 2008 Aug;1(4):214-7. doi: 10.1177/1938640008321405.
An accessory tarsal navicular ossicle may produce pain and tenderness despite conservative treatment modalities. This condition causes pain along the medial arch and limitations of activities. This described modification of the Kidner procedure and simple excision technique keeps the tendon insertion intact while restoring some of the normal biomechanical relationships. In addition, this modification has the theoretical advantage of enhancing dynamic support of the longitudinal arch, and by maintaining the continuity of the posterior tibial tendon, a shorter period of immobilization is required. All patients at the most recent follow-up showed improvement, with 11 of 13 patients having excellent results with long-term follow-up.
尽管采用了保守治疗方法，副舟状骨仍可能引起疼痛和压痛。这种情况会导致内侧足弓疼痛和活动受限。本文所述的改良基德纳手术和简单切除技术在恢复一些正常生物力学关系的同时，保持了肌腱附着点的完整。此外，这种改良在理论上具有增强纵弓动态支撑的优势，并且通过保持胫后肌腱的连续性，所需的固定时间更短。在最近的随访中，所有患者均有改善，13例患者中有11例在长期随访中获得了优异的结果。
