Day F N, Naples J J, White J
J Am Podiatr Med Assoc. 1994 Apr;84(4):197-9. doi: 10.7547/87507315-84-4-197.
This was clearly a case of an unusual anomaly. Clinically, this was a case of an osseous coalition of congenital origin. Since the patient eventually became asymptomatic, no further treatment was necessary. Unfortunately, the patient's parents were unavailable to be radiographed to test the hereditary nature of this disorder. The radiographs and fluoroscopy films were sent to a radiologist. The radiology report stated a total and complete coalition (osseous fusion) between the third metatarsal base and the third cuneiform, with no indication of a joint space present in the left foot scan. Since this pathology is more of an incidental finding and caused the patient no discomfort, surgical correction was not necessary. Certainly, more coalitions of this nature may exist without patient knowledge. This case demonstrates another pathology that the podiatric physician may need to address.
这显然是一例罕见的异常病例。临床上，这是一例先天性骨融合病例。由于患者最终无症状，无需进一步治疗。不幸的是，无法对患者的父母进行X光检查以检测这种疾病的遗传性。X光片和透视片已送交放射科医生。放射学报告显示，第三跖骨基部与第三楔骨之间完全融合（骨性融合），左脚扫描未显示关节间隙。由于这种病变更多是偶然发现且未给患者带来不适，因此无需手术矫正。当然，可能存在更多此类患者不知情的融合情况。该病例展示了足病医生可能需要处理的另一种病变。
