症状性二分内侧楔骨：5例报告及文献复习

Symptomatic Bipartite Medial Cuneiform: Report of Five Cases and Review of the Literature.

作者信息

Steen Eric F, Brancheau Steven P, Nguyen Tho, Jones Marc D, Schade Valerie L

机构信息

Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS)

Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).

出版信息

Foot Ankle Spec. 2016 Feb;9(1):69-78. doi: 10.1177/1938640015576788. Epub 2015 Mar 17.

DOI:10.1177/1938640015576788

PMID:25784458

Abstract

UNLABELLED

Bipartition of the medial cuneiform is a well-described but rarely seen anatomic variant. The majority of literature focuses on anatomic description and incidents based on studies of archeological collections. Symptomatic cases can be overlooked or misdiagnosed initially given the vague complaint of pain either chronic in nature or following an acute injury that could result in a myriad of foot conditions. Treatment ranges from orthotics, immobilization, injection therapy, and surgery. Presented here is a series of 5 cases treated successfully with conservative and surgical measures.

LEVELS OF EVIDENCE

Therapeutic, Level IV.

摘要

未标注

内侧楔骨二分是一种描述详尽但罕见的解剖变异。大多数文献基于考古藏品研究聚焦于解剖描述和发生率。鉴于疼痛主诉模糊，无论是慢性疼痛还是急性损伤后疼痛，都可能导致多种足部疾病，有症状的病例最初可能被忽视或误诊。治疗方法包括使用矫形器、固定、注射治疗和手术。本文介绍了一系列5例采用保守和手术措施成功治疗的病例。