Córdoba-Fernández Antonio, Rayo-Rosado Rafael, López-García Daniel, Juárez-Jiménez José María
Professor of Podiatric Surgery, Department of Podiatry, Universidad de Sevilla, Sevilla, Spain.
Assistant Professor, Department of Podiatry, Universidad de Sevilla, Sevilla, Spain.
J Foot Ankle Surg. 2016 Sep-Oct;55(5):1091-6. doi: 10.1053/j.jfas.2015.08.016. Epub 2015 Oct 2.
Coalition or synostosis of the foot is a relatively uncommon abnormality. Some cases of synostosis of the foot, primarily involving the midfoot and hindfoot, have been reported. However, intermetatarsal coalition is extremely rare, with only a small number of cases reported. We report a case of a unilateral, congenital metatarsal coalition between the fourth and fifth metatarsal bones in a 27-year-old female. She had initially been referred because of a symptomatic plantar lesion under the fifth metatarsal head. Surgery consisted of separating the affected metatarsals, combined with a proximal osteotomy, which proved successful in establishing pain-free and more natural weightbearing.
足部联合或骨性融合是一种相对罕见的异常情况。已经报道了一些主要累及中足和后足的足部骨性融合病例。然而，跖骨间联合极为罕见，仅有少数病例报道。我们报告一例27岁女性第四和第五跖骨之间的单侧先天性跖骨联合病例。她最初因第五跖骨头下方有症状的足底病变而前来就诊。手术包括分离受累跖骨，并结合近端截骨术，结果证明该手术成功地实现了无痛且更自然的负重。
