Simonian P T, Vahey J W, Rosenbaum D M, Mosca V S, Staheli L T
Children's Hospital, Seattle, Washington.
J Bone Joint Surg Br. 1995 Jan;77(1):104-6.
We report eight cases of fracture of the cuboid in seven children under four years of age, collected during a two-year period. There was no history of trauma in five of the patients. This fracture is rarely diagnosed and has probably been under-reported. Small children are poor historians and difficult to examine, and early radiographs may be normal or have only subtle abnormalities. Cuboid fracture should be considered in the differential diagnosis of limping toddlers, and a bone scan may be needed to confirm the diagnosis earlier than radiography. These fractures heal completely, without sequelae. Treatment in a short-leg walking cast is recommended, primarily for reasons of comfort.
我们报告了在两年期间收集的7名4岁以下儿童的8例骰骨骨折病例。其中5名患者无外伤史。这种骨折很少被诊断出来，可能存在报告不足的情况。幼儿很难准确描述病史且检查困难，早期X光片可能正常或仅有细微异常。在蹒跚学步儿童跛行的鉴别诊断中应考虑骰骨骨折，可能需要进行骨扫描以比X光检查更早地确诊。这些骨折可完全愈合，不留后遗症。建议使用短腿行走石膏进行治疗，主要是为了舒适。
