儿科患者的双边Naviculocuneiform联盟:一个罕见位置的常见病理
Tanisha Shankar1, Zeeraq Rana2, Bryon Thomson2
1Department of Radiology, Western University of Health Sciences, Pomona, USA.
Cureus
|October 1, 2025
概括
形形联盟是一种罕见的足部疾病,在青少年中往往没有被诊断出来. 这一案例凸显了MRI在诊断这种罕见的尾结合变异的重要性,这种变异呈现为中脚疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科放射学 儿科放射学
- 医疗病例报告 病例报告
背景情况:
- 状联盟涉及脚部异常的骨融合,通常在青少年中出现疼痛和硬.
- 螺旋形联盟是一种非常罕见的变体,由于微妙的放射性发现,经常被诊断不足.
- 非骨结合可能会在标准X射线上逃避检测,使诊断复杂化.
研究的目的:
- 报告一个儿科病人的双边 naviculocuneiform 联盟的罕见病例.
- 为了强调MRI对罕见的状联盟变体的诊断效用.
- 突出认识到儿童中脚疼痛的非典型表现的重要性.
主要方法:
- 一个11岁的女性中脚疼痛的案例报告.
- 通过体检和X射线图进行初步评估.
- 通过MRI进行高级成像以确认诊断.
- 逆侧脚的X线图的回顾性审查.
主要成果:
- 最初的X射线图显示,在中枢 naviculocuneiform 关节边缘刺激.
- 核磁共振扫描显示皮质的不规则性和 phù hợp与非骨 naviculocuneiform联盟.
- 追溯审查证实了双边的航天和形联盟.
- 患者正在接受保守管理.
结论:
- 形形结合是儿科中脚疼痛的罕见原因,需要高度的临床怀疑才能诊断.
- 磁力共振成像对于识别非骨结合而言至关重要,因为普通的X射线图无法得出结论.
- 早期识别和保守的管理是罕见的状联盟变体的关键.
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