Chew J T, Low C K, Mitra A K
Department of Orthopaedic O Surgery, Singapore General Hospital.
Ann Acad Med Singap. 1995 May;24(3):453-4.
Avascular necrosis rarely affects the cuneiform bones. The treatment has been mainly conservative and histological confirmation of osteonecrosis is therefore not available. The authors report a case of bilateral avascular necrosis of both medial cuneiforms with histological confirmation. The patient was treated operatively with decompression of intra-osseous pressure through multiple drill holes. Six weeks postoperatively, the symptoms subsided and radiographs showed reconstitution of both medial cuneiforms.
缺血性坏死很少累及楔骨。治疗主要是保守治疗，因此无法获得骨坏死的组织学证实。作者报告一例双侧内侧楔骨缺血性坏死并经组织学证实的病例。该患者接受了通过多个钻孔减压骨内压的手术治疗。术后六周，症状消退，X线片显示双侧内侧楔骨恢复。
