Muhm M, Ruffing T, Winkler H
Klinik für Unfall- und Wiederherstellungschirurgie, Westpfalz-Klinikum Kaiserslautern, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Deutschland.
Orthopade. 2011 Mar;40(3):253-8. doi: 10.1007/s00132-010-1731-0.
Talocalcaneal coalitions are rare but a posterior facet talocalcaneal coalition is even rarer. There are three different types: fibrous, cartilaginous and osseous coalitions. Besides conventional x-rays computed tomography is essential for assessment of the subtarsal joint. In the absence of concomitant coalitions and foot deformity resection of the coalition is advocated due to good clinical results when there is an adequate size of the talocalcaneal joint (>50%) and without osteoarthrosis. A case of a rare posterior facet talocalcaneal coalition is reported.
距跟联合很少见,但后关节面距跟联合更为罕见。有三种不同类型:纤维性、软骨性和骨性联合。除了传统的X线检查外,计算机断层扫描对于评估跗下关节至关重要。在没有合并联合和足部畸形的情况下,如果距跟关节大小足够(>50%)且无骨关节炎,由于临床效果良好,主张对联合进行切除。本文报道了一例罕见的后关节面距跟联合病例。