Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, Illinois.
Department of Orthopaedics, Shriners Hospital for Children-Chicago, Chicago, Illinois.
JBJS Case Connect. 2022 Jan 5;12(1):01709767-202203000-00002. doi: e20.00861.
We present 2 cases in which patients previously treated for congenital talipes equinovarus (CTEV) presented with residual cavovarus deformity and lateral foot pain and were found to have Jones fractures. Both patients were indicated for surgical correction of their residual cavovarus deformity, although neither elected to proceed. These 2 patients were treated conservatively for their fractures with cast immobilization. At the final follow-up, both were clinically and radiographically healed.
Residual cavovarus foot deformities after the treatment of CTEV are at risk for proximal fifth metatarsal or Jones fractures. Although conservative management may lead to healing of these fractures, the underlying stresses persist after conservative management increasing the risk for recurrent fracture. Correction of the residual deformity should be the main goal.
我们报告了 2 例先前接受先天性马蹄内翻足（CTEV）治疗的患者，他们出现残余的内翻高弓畸形和外侧足部疼痛，并被发现有琼斯骨折。这两例患者都需要进行手术矫正残余的内翻高弓畸形，但都没有选择进行手术。这两名患者的骨折均采用石膏固定进行保守治疗。最终随访时，两名患者的骨折均临床和影像学愈合。
CTEV 治疗后的残余内翻高弓足畸形存在第五跖骨近端或琼斯骨折的风险。虽然保守治疗可能会导致这些骨折愈合，但在保守治疗后，潜在的应力仍然存在，增加了再次骨折的风险。矫正残余畸形应是主要目标。
