足跟距联合畸形的X线研究  

Radiologic Study of Talocalcaneal Coalition

作　　者：杨广夫[1] 许云龙[1] 黄伟年[1] 范义[1] 张启周[1] 李泳[1] 蒋飞宇[1] 吴兴隆[1] 林焕兴[1] 张明东[1] 杨帆[1] 

机构地区：[1]遵义医学院附属深圳龙岗中心医院深圳市第九人民医院影像科,广东深圳518116

出　　处：《实用放射学杂志》2006年第3期304-306,共3页Journal of Practical Radiology

摘　　要：目的 研究足跟距连合畸形的临床X线意义。方法 观察773例踝部CRX线片，年龄10—81岁，男565例，女208例。按照性别、年龄、外伤和疼痛分组，研究跟距联合的发生率及有关X线征象。结果 773例中足跟距联合畸形54例（7．00％），男女间无性别差异（P〉0．25）。成人（〉20岁）发生率8．60％（48／558），青年（10-19）岁为5．22％（6／115）。足疼痛组发生率9．79％（14／143），外伤组6．78％（40／630）。C征阳性占61．1％（33／54），后关节联合占38．9％（21／54），距骨颈短61．1％（33／54），距骨上钩22．2％（12／54）。结论 在我国跟距联合畸形是较常见发育异常，应注意成年足踝疼痛病人该畸形的诊断。Objective To study the clinicoradiologic significance of talocalcaneal coalition. Methods Ankle CR findings of 773 cases were evaluated. There were 565 male and 208 female, age ranged from 10 years to 81 years. The incidence and radiotogic signs of talocalcaneal coalition were studied according to the sex, age, foot trauma and pain groups. Results 54 cases （ 7.00% ） of talocalcaneal coalition were presented in 7 7 3 cases , there was no significant difference between the male and female groups . The incidence of adulthood （ 〉20 years） was 8.60% （48/558） , which was more than that in the second decade of life （ 5.22% ）. The incidence of painful group was 9.79% （ 14/143 ） ,which was more than that in foot trauma group 6.78% （ 40/630 ）. The positive C sign was presented in 61.1% （ 33/54 ） , posterior - type coalition in 38.9% （ 21/54 ） , short talar neck sign in 61.1% （ 33/54 ） and talar beak sign in 22.2% （ 12/54 ）. Conclusion The talocalcaneal coalition is a common development abnormality in our country. We must pay attention to the diagnosis of talocalcaneal coalition for painful foot adulthood.

关 键 词：跟距联合畸形 踝C征 足外伤 足疼痛 

分 类 号：R681.8[医药卫生—骨科学] R814.41[医药卫生—外科学]