张 栋,南少奎,朱 跃,李 菲,何 勍.先天性距下关节融合2例报道以及相关临床诊治分析综述[J].转化医学杂志,2021,10(5):347-348+封三
先天性距下关节融合2例报道以及相关临床诊治分析综述
Congenital talocalcaneal coalition:case-report and literature review
  
DOI:
中文关键词:  先天距下关节融合  足踝痛  习惯性脚扭伤
英文关键词:Congenital talocalcaneal coalition  Foot and ankle pain  Foot recurrent sprain
基金项目:
作者单位
张 栋 解放军总医院第六医学中心骨科 
南少奎 解放军总医院第六医学中心骨科 
朱 跃 解放军总医院第六医学中心骨科 
李 菲 解放军总医院第六医学中心骨科 
何 勍 解放军总医院第六医学中心骨科 
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中文摘要:
      距下关节融合,是跟距骨桥或跟距联合的一种,指跗骨联合中跟骨与距骨之间的异常连接,常导致足踝慢性疼痛、活动受限。临床上,先天性距下关节外融合发病隐匿,缺乏特征性,难以得到及时准确的诊断和正确的治疗。既往文献报道先天性距下关节外融病例较少,其中多为个案报道。中国人民解放军总医院第六医学中心骨科发现并治疗2例罕见先天性距下关节融合患者(共三足)。通过对该病例的诊治和文献回顾及影像学检查、诊断、治疗以及相关进展,进行系统性综述,提醒基层医生对患者反复足踝痛时,应警惕是否存在先天性距下关节融合的可能;并且推荐CT作为其诊断方法。
英文摘要:
      Talocalcaneal coalition, a kind of calcaneal talus bridge or calcaneal talus union, refers to the abnormal connection between calcaneus and talus. This results in movement and pain of the foot and ankle. Clinically, the incidence of CTCC is hidden and lack of characteristics, so it is often difficult to get accurate diagnosis and correct treatment in time. Previous literature rarely reported cases of congenital talocalcaneal coalition (CTCC), of which case-report accounts for a large proportion, the author discovers and manages two rare cases (three feet) with CTCC.Via the imaging examination, diagnosis, treatment and update literature on this deformity, the author tries to depict an explicable review on congenital talocalcaneal coalition, so as to draw doctors′attention in outpatient, especially confronting the young with recurrent foot sprain and pain. And CT is recommended as its diagnostic method.
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