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弗赖伯格病与跖骨头缺血性坏死

Freiberg Disease and Avascular Necrosis of the Metatarsal Heads.

作者信息

Wax Andrew, Leland Robert

机构信息

Boulder Centre for Orthopedics, 4740 Pearl Parkway, Boulder, CO 80301, USA.

Department of Orthopedic Surgery, University of Colorado School of Medicine, 12631 E. 17th Avenue, Aurora, CO 80045, USA.

出版信息

Foot Ankle Clin. 2019 Mar;24(1):69-82. doi: 10.1016/j.fcl.2018.11.003.

DOI:10.1016/j.fcl.2018.11.003
PMID:30685014
Abstract

Freiberg disease is characterized as osteochondrosis of the second metatarsal head. It is the fourth most common form of primary osteochondrosis with a significant predilection to the adolescent athletic female population, although it has been seen over a wide age range. If treated early, osteochondroses such as Freiberg disease are essentially self-limiting, often resolving with nonoperative management. When surgery is warranted, it is imperative the patient's age, activity level, and degree of articular deformity be taken into account.

摘要

弗赖贝格病的特征是第二跖骨头骨软骨病。它是原发性骨软骨病的第四种最常见形式,明显好发于青春期从事体育运动的女性人群,不过在广泛的年龄范围内都有发现。如果早期治疗,像弗赖贝格病这样的骨软骨病本质上是自限性的,通常通过非手术治疗即可痊愈。当需要进行手术时,必须考虑患者的年龄、活动水平和关节畸形程度。

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