在成年人中发生的Tarsal联盟
Nazim Mehdi1, Alessio Bernasconi2, François Lintz1
1Clinique de l'Union, centre de chirurgie de la cheville et du pied, boulevard de Ratalens, 31240 Saint-Jean, France.
Orthopaedics & traumatology, surgery & research : OTSR
|November 18, 2023
概括
足骨的异常结合,即状联盟,可以引起疼痛和平脚. 诊断依赖于像负载CT一样的成像,治疗范围从保守措施到涉及切除或融合的手术.
科学领域:
- 整形外科 整形外科 整形外科
- 足部医学是一门专业.
- 放射学 放射学是一门学科.
背景情况:
- 形结合是两个或两个以上形骨的异常融合,发生在先天性或获得性.
- 它呈现出模糊的症状,往往导致通过常规X射线延迟诊断.
- 塔洛卡卡纳和卡卡纳纳维库拉结合是最常见的,由于生物机械干扰而引起疼痛.
研究的目的:
- 审查成人尾结合的定义,诊断,治疗和预期结果.
- 突出诊断挑战和成像技术的进步.
- 提供关于手术与非手术管理策略的指导.
主要方法:
- 对状联盟的文献综述,重点关注诊断方式和治疗选择.
- 对成像技术的分析,包括传统的X射线,CT,MRI和断层切割.
- 评估手术方法 (切除与关节切除) 和非手术管理.
主要成果:
- 状联盟涉及骨,软骨或纤维结合,主要影响状关节和状状关节.
- 承重CT是目前诊断的黄金标准,提供3D可视化.
- 非手术治疗包括关节位和康复;手术是常见的,切除最好在没有骨关节炎的关节参与率低于50%,否则应进行融合.
结论:
- 准确诊断状联盟需要先进的成像,承重CT是优越的.
- 治疗选择取决于结合的类型,位置,程度和关节完整性.
- 手术切除或融合可以恢复功能,但结果因所选择的方法和患者因素而异.
相关概念视频
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
Structural Joints: Cartilaginous Joints
2.3K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.3K
Bones of the Lower Limb: Tibia and Fibula
3.5K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
3.5K
Functional Classification of Joints
4.1K
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An...
4.1K
Knee Joint
1.8K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.8K
Articulations of the Vertebral Column
2.0K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
2.0K


