内踝骨骺骨软骨病：一例报告并文献复习
Osteochondrosis of the medial malleolar epiphysis: A case report and review of the literature.
作者信息
Turati Marco, Glard Yann, Griffet Jacques, Afonso David, Courvoisier Aurélien, Bigoni Marco
机构信息
Department of Paediatric Orthopedic Surgery, University Hospital Grenoble-Alpes, University Grenoble-Alpes, France; Orthopedic Department, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.
Department of Paediatric Orthopaedics, Saint Joseph Hospital, Marseille, France.
出版信息
Int J Surg Case Rep. 2017;39:176-180. doi: 10.1016/j.ijscr.2017.08.004. Epub 2017 Aug 14.
INTRODUCTION
Osteochondrosis is characterized by a disturbance of enchondral ossification in skeletally immature patients and should be investigated in children having a history of persistent foot and ankle pain. Involvement of the medial malleolar epiphysis is rarely reported.
PRESENTATION OF CASE
We describe the case of a sporty 12-year-old male with osteochondrosis of the left medial malleolar epiphysis treated with a conservative management.
DISCUSSION
Calcanear, navicular and metatarsal apophysis are the most common locations for osteochondrosis in ankle and foot. Anyway other osteochondrosis should be excluded. Medial malleolar osteochondrosis is occasionally described. We performed a review of the relevant literature and we summarized clinical aspects, radiological characteristics and reported management of this painful and probably underestimated condition.
CONCLUSION
Medial malleolar osteochondrosis is a rare but well recognized condition. Only seven cases are described in literature.
引言
骨软骨病的特征是骨骼未成熟患者的软骨内成骨紊乱，对于有持续性足踝疼痛病史的儿童应进行检查。内侧踝骨骺受累的情况鲜有报道。
病例介绍
我们描述了一名12岁爱运动男性的病例，其左内侧踝骨骺骨软骨病采用保守治疗。
讨论
跟骨、舟骨和跖骨骨骺是踝和足部骨软骨病最常见的发病部位。无论如何，应排除其他骨软骨病。内侧踝骨软骨病偶尔会被描述。我们对相关文献进行了综述，并总结了这种疼痛且可能被低估的疾病的临床特征、影像学特点及报道的治疗方法。
结论
内侧踝骨软骨病是一种罕见但已被充分认识的疾病。文献中仅描述了7例。
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