Department of Orthopaedic Surgery, Osaka Saiseikai Nakatsu Hospital, 2-10-39 Shibata, Osaka, Kita-ku, 530-0012, Japan.
Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Int Orthop. 2024 Apr;48(4):1049-1055. doi: 10.1007/s00264-023-06074-4. Epub 2023 Dec 26.
Accessory ossicles are caused by the failure of the fusion of secondary ossification centres and are more likely to occur due to heavy loading during the growth period or improper treatment after injury. This study aimed to investigate the incidence of foot and ankle accessory ossicles in male professional soccer players.
This study included male professional soccer players who underwent medical checkups at our hospital between 2017 and 2023 as the soccer group. Medical checkups included radiographs of bilateral anteroposterior and oblique foot, as well as bilateral anteroposterior and lateral ankle. Male patients age-matched with the soccer group who visited our hospital undergoing anteroposterior and oblique foot or anteroposterior and lateral ankle radiography were included in the control group. The incidence of accessory ossicles was investigated and compared between the soccer and control groups.
In this study, 276 ankles and 276 feet, as well as 121 ankles and 79 feet, were included in the soccer and control groups, respectively. The incidence of accessory ossicles in the soccer and control groups was as follows: accessory navicular 35.9%, 24% (P = .049), os peroneum 8.0%, 2.5% (P = .09); os supranaviculare 7.6%, 1.3% (P = .039); os infranaviculare 1.4%, 1.3% (P = .090); os calcaneus secundarius 4.3%, 0% (P = .059); os vesalianum 0%, 0%; os subfiblare 12.7%, 2.5% (P < .001); os subtibiale 18.1%, 2.5% (P = .001); and os trigonum 89%, 24% (P < .001).
Male professional soccer players had a higher incidence of accessory navicular, os supranaviculare, os subfiblare, os subtibiale, and os trigonum.
副骨是由二次骨化中心融合失败引起的，在生长期间负重过重或受伤后处理不当更容易发生。本研究旨在调查男性职业足球运动员足踝副骨的发生率。
本研究纳入了 2017 年至 2023 年在我院进行体检的男性职业足球运动员作为足球组。体检包括双侧足前后位和斜位片，以及双侧踝关节前后位和侧位片。纳入与足球组年龄匹配的因前后位和斜位足或前后位和侧位踝关节放射照相而在我院就诊的男性患者作为对照组。调查并比较了足球组和对照组副骨的发生率。
本研究共纳入 276 例踝关节和 276 例足部，以及 121 例踝关节和 79 例足部，分别纳入足球组和对照组。足球组和对照组副骨的发生率如下：副舟骨 35.9%，24%（P=0.049）；外踝副骨 8.0%，2.5%（P=0.09）；距骨上突 7.6%，1.3%（P=0.039）；距骨下突 1.4%，1.3%（P=0.090）；跟骨副骨 4.3%，0%（P=0.059）；舟状骨副骨 0%，0%；副腓骨 12.7%，2.5%（P<0.001）；副胫骨 18.1%，2.5%（P=0.001）；三角骨 89%，24%（P<0.001）。
男性职业足球运动员副舟骨、距骨上突、副腓骨、副胫骨和三角骨的发生率较高。
