Eves Timothy B, Ahmad Mudussar A, Oddy Michael J
Core Surgical Trainee, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK.
Specialist Registrar, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK.
J Foot Ankle Surg. 2014 Mar-Apr;53(2):232-4. doi: 10.1053/j.jfas.2013.03.030. Epub 2013 Apr 28.
We report the case of an 11-year-old boy who had sustained a soccer injury to his mid-foot. Plain radiography did not reveal any fracture to account for the severity of his symptoms or his inability to bear weight. Magnetic resonance imaging was undertaken and demonstrated the medial cuneiform to be a bipartite bone consisting of 2 ossicles connected by a synchondrosis. No acute fracture or diastasis of the bipartite bone was demonstrated; however, significant bone marrow edema was noted, corresponding to the site of the injury and his clinical point bony tenderness. This anatomic variant should be considered as a rare differential diagnosis in the skeletally immature foot. The injury was treated nonoperatively with a non-weightbearing cast and pneumatic walker immobilization, with successful resolution of his symptoms and a return to sports activity by 4 months after injury.
我们报告了一名11岁男孩的病例,他在踢足球时中足受伤。X线平片未发现任何骨折,无法解释其症状的严重程度或他无法负重的情况。于是进行了磁共振成像检查,结果显示内侧楔骨为二分骨,由2块小骨通过软骨结合相连。二分骨未见急性骨折或分离;然而,发现有明显的骨髓水肿,与损伤部位及临床压痛部位相符。这种解剖变异在骨骼未成熟的足部应被视为一种罕见的鉴别诊断。该损伤采用非负重石膏和气动助行器固定进行非手术治疗,症状成功缓解,受伤后4个月恢复运动。