Clarke D M
Texas Scottish Rite Hospital for Children, Dallas, USA.
J Pediatr Orthop. 1997 Nov-Dec;17(6):777-80.
I reviewed 60 cases of tarsal coalition seen at Texas Scottish Rite Hospital for Children over the last 10 years. Twenty-nine patients had plain films only and were excluded from the study. One patient was diagnosed with synovitis at the time of surgery and was also excluded. Thirty patients with 53 coalitions had computed tomographic (CT) and, in many cases, surgical documentation of a tarsal coalition. Of these 30 patients, six had multiple coalitions in the same foot. This article briefly summarizes the six cases and reviews the literature of multiple tarsal coalitions, both before and after the use of CT. I suggest that multiple coalitions in the same foot are more common than once thought and recommend CT evaluation of both feet in transaxial and coronal planes in patients with suspected tarsal coalition.
我回顾了过去10年在德克萨斯州苏格兰 rite 儿童医院看到的60例跗骨联合病例。29例患者仅有X线平片，被排除在研究之外。1例患者在手术时被诊断为滑膜炎，也被排除。30例患者共53处联合，有计算机断层扫描（CT）结果，且在许多情况下有跗骨联合的手术记录。在这30例患者中，6例在同一足部有多处联合。本文简要总结这6例病例，并回顾使用CT前后关于多处跗骨联合的文献。我认为同一足部的多处联合比以往认为的更常见，并建议对疑似跗骨联合的患者双足进行CT轴位和冠状位评估。
