Lee M S, Harcke H T, Kumar S J, Bassett G S
Department of Medical Imaging, Alfred I. duPont Institute, Wilmington, DE 19899.
Radiology. 1989 Sep;172(3):635-9. doi: 10.1148/radiology.172.3.2772169.
Eleven children with clinical and radiographic findings suggestive of nonosseous subtalar coalition were found to have fibrous bridges at the time of surgery. A second group of 14 children with similar clinical and radiographic findings is being conservatively treated at present. This series of children suggests that a common site of nonosseous subtalar coalition is found posterior to the sustentaculum tali. Diagnosis of nonosseous coalition requires careful examination with computed tomography, with attention to subtle changes in the hindfoot, particularly posterior to the sustentaculum tali.
11名临床和影像学检查结果提示存在非骨性距下联合的儿童在手术时被发现有纤维桥。目前，另一组14名有类似临床和影像学表现的儿童正在接受保守治疗。这一系列儿童表明，非骨性距下联合的常见部位位于载距突后方。非骨性联合的诊断需要通过计算机断层扫描进行仔细检查，注意后足的细微变化，尤其是载距突后方的变化。
