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跟骰关节囊韧带软组织卡压:后天性马蹄内翻畸形的罕见病因。

Calcaneocuboid capsuloligamentous soft-tissue entrapment: a rare cause of acquired equinovarus deformity.

作者信息

Bokka Sreekar, Shirodkar Kapil, Naqvi Jawad, Baqai Nadeem, Hegde Ganesh

机构信息

Department of Medicine, Furness General Hospital, University Hospitals of Morecambe Bay NHS Trust, Dalton Lane, Barrow in Furness, LA14 4LF, UK.

Department of Radiology, Royal Lancaster Infirmary, University Hospitals of Morecambe Bay NHS Trust, Ashton Road, Lancaster, LA1 4RP, UK.

出版信息

Pediatr Radiol. 2023 Jan;53(1):169-174. doi: 10.1007/s00247-022-05432-5. Epub 2022 Jul 13.

Abstract

Acquired equinovarus deformity is rare, with most cases related to congenital disorders such as clubfoot. We describe a unique case of traumatic capsuloligamentous soft-tissue entrapment within the calcaneocuboid joint in a 13-year-old girl, causing an acquired equinovarus deformity. This required surgical exploration and joint fixation. Assessing soft-tissue entrapment on magnetic resonance imaging can be beneficial as a potential cause of an acquired post-traumatic non-reducible foot deformity in children. We discuss the intricate capsuloligamentous structures that reinforce the calcaneocuboid joint and highlight the importance of interrogating such structures in the context of inversion injuries to the ankle.

摘要

获得性马蹄内翻畸形很少见,大多数病例与先天性疾病如马蹄足有关。我们描述了一例独特的病例,一名13岁女孩的跟骰关节内发生创伤性关节囊韧带软组织嵌顿,导致获得性马蹄内翻畸形。这需要进行手术探查和关节固定。磁共振成像评估软组织嵌顿可能有助于发现儿童创伤后不可复位足部畸形的潜在原因。我们讨论了加固跟骰关节的复杂关节囊韧带结构,并强调在踝关节内翻损伤的背景下检查这些结构的重要性。

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