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二分籽骨上的拇籽骨炎:慢性拇趾疼痛的罕见原因。

Hallucal sesamoiditis on a bipartite sesamoid bone: An uncommon cause of chronic great toe pain.

作者信息

Benslima Najwa, Mniai El Mehdi, Kassimi Mariam, Mahi Mohamed

机构信息

Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco.

出版信息

Radiol Case Rep. 2023 Jul 19;18(9):3357-3360. doi: 10.1016/j.radcr.2023.05.045. eCollection 2023 Sep.

DOI:10.1016/j.radcr.2023.05.045
PMID:37502136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10371764/
Abstract

The pathologies and lesions affecting the sesamoid bones of the hallux are uncommon and can be easily overlooked. Among them, sesamoiditis is a relatively rare condition known to cause severe great toe pain; lack of awareness of this particular entity leads to misdiagnosis, delayed treatment, and contributes to significant morbidity. Herein, we present a chronic sesamoiditis case occurring on a medial bipartite sesamoid bone, presenting as chronic great toe pain. The main purpose of this work is to discuss the role of magnetic resonance imaging and X-rays in the diagnosis process. To the best of our knowledge, no cases of great toe sesamoiditis occurring on a bipartite bone in no-athletic patients have yet been reported.

摘要

影响拇趾籽骨的病变并不常见,很容易被忽视。其中,籽骨炎是一种相对罕见的病症,已知会导致严重的大脚趾疼痛;对这种特殊病症缺乏认识会导致误诊、延误治疗,并造成严重的发病率。在此,我们报告一例发生在内侧二分籽骨上的慢性籽骨炎病例,表现为慢性大脚趾疼痛。这项工作的主要目的是讨论磁共振成像和X射线在诊断过程中的作用。据我们所知,尚未有非运动员患者二分籽骨发生大脚趾籽骨炎的病例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/d4e48bdbed8a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/3ccd6c5bc101/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/ad713cfecfdc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/2b54bc75cab6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/d4e48bdbed8a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/3ccd6c5bc101/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/ad713cfecfdc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/2b54bc75cab6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ce/10371764/d4e48bdbed8a/gr4.jpg

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本文引用的文献

1
Diagnosis and conservative management of great toe pathologies: a review.大脚趾病变的诊断和保守治疗:综述。
Postgrad Med. 2021 May;133(4):409-420. doi: 10.1080/00325481.2021.1895587. Epub 2021 Apr 4.
2
Injuries to the great toe.拇趾损伤。
Curr Rev Musculoskelet Med. 2017 Mar;10(1):104-112. doi: 10.1007/s12178-017-9390-y.
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Painful sesamoid of the great toe.拇趾籽骨疼痛
World J Orthop. 2014 Apr 18;5(2):146-50. doi: 10.5312/wjo.v5.i2.146.
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Utility of (99m)Tc-MDP SPECT-CT for the diagnosis of sesamoiditis as cause of metatarsalgia.(99m)锝-亚甲基二膦酸盐单光子发射计算机断层显像-计算机断层扫描((99m)Tc-MDP SPECT-CT)在诊断籽骨炎作为跖痛症病因中的应用。
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Sesamoid disorders of the first metatarsophalangeal joint.第一跖趾关节籽骨疾病
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Hallux sesamoid disorders.拇籽骨疾病
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