Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.
Knee Surg Sports Traumatol Arthrosc. 2018 Jul;26(7):2131-2141. doi: 10.1007/s00167-017-4613-8. Epub 2017 Jun 28.
The aim of this study was to provide a literature review on talus bipartitus and to introduce an arthroscopic treatment option.
A systematic review of published case reports and small case series was performed. Medline, Embase, CINAHL, Google Scholar and Web of Science databases were searched for relevant publications. In addition, three cases of talus bipartitus treated in our institute were discussed.
Eleven articles were identified, reporting on 23 patients, of whom one patient had a bilateral talus bipartitus. Fourteen were males (61%). The median age at presentation was 15.5 years (IQR 14-24.3). In 21 of the symptomatic cases (96%), the patient experienced ankle pain, and 13 had a restricted range of motion (54%). In our institution, two patients were treated arthroscopically and had excellent short- and long-term outcomes.
Talus bipartitus is a rare anatomical anomaly. Symptoms are characterized by pain and restricted subtalar motion in young patients. Surgical treatment is focused on either fixation or excision of the bony fragment. Our two cases have demonstrated that an arthroscopic approach can be a safe and effective treatment option in patients with a symptomatic talus bipartitus.
IV.
本研究旨在对距骨二分症进行文献回顾，并介绍一种关节镜治疗方法。
对已发表的病例报告和小病例系列进行了系统回顾。在 Medline、Embase、CINAHL、Google Scholar 和 Web of Science 数据库中搜索了相关文献。此外，还讨论了我们研究所治疗的三例距骨二分症病例。
确定了 11 篇文章，报道了 23 例患者，其中 1 例为双侧距骨二分症。14 例为男性（61%）。发病时的中位年龄为 15.5 岁（IQR 14-24.3）。在 21 例有症状的病例中（96%），患者出现踝关节疼痛，13 例出现活动范围受限（54%）。在我们的机构中，有 2 名患者接受了关节镜治疗，取得了极好的短期和长期效果。
距骨二分症是一种罕见的解剖异常。症状表现为年轻患者的疼痛和距下关节活动受限。手术治疗的重点是固定或切除骨碎片。我们的两例病例表明，关节镜方法是治疗有症状的距骨二分症的一种安全有效的治疗选择。
IV 级。
