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[足部籽骨骨病]

[Sesamoid osteoopathy of the foot].

作者信息

Szántó D, Szücs G, Tamási L, Fazekas K, Lukács K, Flórián A

机构信息

Szent Ferenc Kórház, Miskolc Röntgen Osztály.

出版信息

Orv Hetil. 1996 Dec 1;137(48):2675-8.

PMID:9679599
Abstract

Taking parts of sesamoids in several arthroosteopathies of 160 males and 156 females in the retrospective study were investigated. On the comparative dorsi-plantar, oblique, inversion and eversion pedal plain films could demonstrate bony hypotrophy and hypertrophy of sesamoids in 124 (39.55%) of 316 subjects. Until the dorsi-plantar radiographs were obtained with 15 degrees cephalic tube angulation, then the oblique, inversion and eversion ones were unangled. Radiographically the sesamoid osteopathies were divided into mild (grade 1, 36 of 124 cases), moderate (grade 2, 44 of 124 cases) and severe (grade 3, 44 of 124 cases) forms. The affictions involved the constant sesamoid bones of forefeet (1st and 5th metatarsophalangeal joints) exclusively. Sesamoid osteopathy was clinically specified by the serious locomotive pain of ball of the feet as well unfavourable chances against conservative treatment.

摘要

在一项回顾性研究中,对160名男性和156名女性的几种关节病中的籽骨部分进行了调查。在比较正位、斜位、内翻和外翻足部平片上,316名受试者中有124名(39.55%)可显示籽骨骨质萎缩和肥大。直到获得15度头侧管倾斜的正位X线片后,再拍摄无倾斜的斜位、内翻和外翻片。X线片上,籽骨病分为轻度(1级,124例中的36例)、中度(2级,124例中的44例)和重度(3级,124例中的44例)。病变仅累及前足恒定的籽骨(第1和第5跖趾关节)。籽骨病在临床上表现为严重的足跖球部运动疼痛以及保守治疗效果不佳。

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