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第一跖籽骨特发性骨坏死

Idiopathic osteonecrosis of the first metatarsal sesamoid.

作者信息

Ogata K, Sugioka Y, Urano Y, Chikama H

出版信息

Skeletal Radiol. 1986;15(2):141-5. doi: 10.1007/BF00350208.

DOI:10.1007/BF00350208
PMID:3961520
Abstract

Four patients with histologically confirmed osteonecrosis of the first metatarsal sesamoid are presented. No patient was an athlete, nor recalled any noticeable trauma or significant stress as having occurred to the feet. No foot deformities or joint malalignments were found. Excellent results were obtained by excision of the affected sesamoid in all patients, after follow-up periods of 1 to 12 years. Microscopic findings were compatible with those seen in idiopathic osteonecrosis of the femoral head.

摘要

本文报告了4例经组织学证实的第一跖籽骨骨坏死患者。所有患者均非运动员,且均未回忆起足部曾发生过任何明显外伤或重大压力事件。未发现足部畸形或关节排列不齐。在1至12年的随访期后,所有患者通过切除患侧籽骨均获得了良好疗效。显微镜检查结果与特发性股骨头坏死所见相符。

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本文引用的文献

1
INJURIES OF THE GREAT TOE SESAMOIDS.拇趾籽骨损伤
Ann Surg. 1914 Oct;60(4):478-80. doi: 10.1097/00000658-191410000-00007.
2
Anatomic variations in the first ray: Part II. Disorders of the sesamoids.
Clin Orthop Relat Res. 1980 Sep(151):256-64.
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The sesamoids of the hallux.拇趾籽骨
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The hallux sesamoids revisited.拇籽骨再探讨。
Skeletal Radiol. 1992;21(7):437-44. doi: 10.1007/BF00190986.
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The great toe sesamoid bones: the lus or lost souls of Ushaia.拇趾籽骨:乌斯怀亚的迷失之魂。
Clin Orthop Relat Res. 1981 Jun(157):82-7.
5
Transtrochanteric rotational osteotomy of the femoral head for the treatment of osteonecrosis. Follow-up statistics.转子间股骨头旋转截骨术治疗股骨头坏死。随访统计
Clin Orthop Relat Res. 1982 Sep(169):115-26.
6
Osteochondritis of the hallux sesamoid bones.
Foot Ankle. 1983 Jan-Feb;3(4):220-3. doi: 10.1177/107110078300300408.
7
Osteomyelitis of the metatarsal sesamoids.跖籽骨骨髓炎
J Bone Joint Surg Br. 1969 Aug;51(3):464-8.
8
Osteochondritis of the first metatarsal sesamoid: report of three cases.第一跖籽骨骨软骨炎:三例报告
Clin Orthop Relat Res. 1972;85:38-41. doi: 10.1097/00003086-197206000-00009.
9
Sesamoidectomy: a surgical bogey.籽骨切除术:一种外科禁忌证。
Clin Orthop Relat Res. 1974(103):102-3. doi: 10.1097/00003086-197409000-00065.