后脚阻塞:它不仅仅是关于三角骨
Nacime Salomao Barbachan Mansur1,2, John E Femino1, Karthikeyan Chinnakkannu1,3
1Department of Orthopedics and Rehabilitation, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Foot & ankle orthopaedics
|April 1, 2024
概括
后脚阻塞综合征 (PAIS) 通常不仅涉及三角骨问题. 后脚和后脚关节镜检查 (PAHA) 经常发现相关的病理,如柔幻觉长障碍,影响PAIS的治疗策略.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 人体解剖学 解剖学 解剖学
背景情况:
- 三角骨和Stieda过程是导致后脚撞伤综合征 (PAIS) 的常见原因.
- 传统的成像 (X射线图,CT,MRI) 可能会错过相关的软组织和骨病理.
- 后脚和后脚关节镜 (PAHA) 提供动态可视化与放大用于PAIS诊断.
研究的目的:
- 为了确定与PAHA治疗的三角管阻塞患者中相关疾病的患病率.
- 突出PAHA在PAIS静态成像中的诊断优势.
主要方法:
- 对111个脚进行PAHA治疗,以治疗三角形撞击的回顾性比较研究 (2011年1月至2016年9月).
- 排除并发的公开程序和其他PAHA指示.
- 对人口统计数据,诊断,关节镜检查结果和解剖病因学的分析,分组三角形冲击.
主要成果:
- 孤立的三角形乱仅占PAIS病例的15.3%.
- 相关的病理是常见的,长幻觉 (FHL) 障碍 (69.4%),下 (32.4%) 和突炎 (25.2%后中侧,22.5%后侧) 是最常见的.
- 在os trigonum和Stieda过程之间观察到孤立和相关病理的显著差异.
结论:
- 三角形骨往往是后脚病理的更广泛范围的一部分,而不是一个孤立的问题.
- PAHA对于识别PAIS的并发原因至关重要,这些原因可能会被开放方法忽视.
- 外科医生应该考虑相关病理的高患病率,当规划治疗三角形入时.
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