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一名发育正常儿童出现罕见的单侧轴后多指(趾)畸形足病例。

A rare case of unilateral postaxial duplicated foot in a developmentally normal child.

作者信息

Sahdi Haniza, Hoong Chan Wai, Rasit Ahmad Hata, Arianto Fredy, Siong Lau Kiew, Abdullah Nur Alyana Benjamin

机构信息

1 Department of Orthopaedics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak (UNIMAS), Kota Samarahan, Sarawak, Malaysia.

2 Department of Radiology, Sarawak General Hospital, Kuching, Sarawak, Malaysia.

出版信息

J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499016684989. doi: 10.1177/2309499016684989.

Abstract

Diplopodia, being a rare congenital disorder, is infrequently discussed in published texts. Most reported cases have accounted the involvement of duplicated preaxial digits with other associated organ system and physical deformities. Here, we present an unusual case of isolated diplopodia involving postaxial toes in a child with no other organ and physical abnormalities. Radiological studies revealed a set of 10-digit-duplicated foot over the lateral aspect of the native foot, complete with phalanges and its corresponding metatarsals as well as tarsals, supplied by an anomalous posterior branch of the popliteal artery. Definitive surgery was performed just before the child was learning to walk.

摘要

复趾畸形是一种罕见的先天性疾病,在已发表的文献中很少被讨论。大多数报道的病例都涉及到复发性轴前指(趾)与其他相关器官系统及身体畸形。在此,我们报告一例罕见的孤立性复趾畸形病例,该患儿仅累及轴后趾,无其他器官及身体异常。影像学研究显示,在患儿正常足部的外侧出现一组10趾重复的足部结构,包括趾骨及其相应的跖骨和跗骨,由腘动脉的一支异常后支供血。在患儿开始学步前进行了确定性手术。

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