Aydın Deniz
Orthopedist, Department of Orthopedics and Traumatology, Near East University Medical Faculty, Lefkoşa, Cyprus.
J Foot Ankle Surg. 2016 Mar-Apr;55(2):317-9. doi: 10.1053/j.jfas.2014.09.042. Epub 2014 Nov 1.
The appearance of displaced bone inferior (distal) to the medial malleolus, present on radiographs in an adolescent patient, can be confused with a fracture, when, in fact, it is the radiographic appearance of a secondary center of ossification. Foot and ankle surgeons should be aware of extra ossification centers and accessory bones, including one at the tip of the medial malleolus, to avoid misdiagnosis and overtreatment. In the present report, I describe the case of a 9-year-old male with bilateral extra ossification centers at the tip of each medial malleolus.
一名青少年患者的X线片显示内踝下方(远端)有移位的骨质,这可能会被误诊为骨折,而实际上这是继发骨化中心的X线表现。足踝外科医生应了解额外的骨化中心和副骨,包括内踝尖处的骨化中心,以避免误诊和过度治疗。在本报告中,我描述了一名9岁男性的病例,其双侧内踝尖均有额外的骨化中心。