呲外翻第1跖骨头内侧骨赘及其附着组织的病理组织学观察  

Observation on pathological changes of the medial aspect of the first metatarsal head of hallux valgus

作　　者：温建民[1] 佟云[2] 韩凤岳[1] 孙永生[1] 孙卫东 桑志成[1] 胡海威[1] 林新晓[1] 吴夏勃[1] 梁朝[1] 

机构地区：[1]中国中医科学院望京医院骨关节二科,北京100102 [2]北京市丰盛中医骨伤专科医院骨科

出　　处：《中国骨伤》2008年第12期883-885,共3页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金(编号:30772815)

摘　　要：目的:分析外翻趾内侧组织的病理学变化特征,探讨外翻的发病机制。方法:收集123例(235足)外翻患者手术后取出的完整趾第1跖骨头内侧骨组织及其附着的软组织,常规HE染色,总结病理学变化特点。结果:外翻内侧骨赘及其附着软组织的主要病理学变化,包括肌腱与关节囊附着点退行性变和结缔组织增生,骨膜的反应性增生,皮质骨下骨小梁减少,皮质骨和骨膜及其肌腱附着点软骨化,皮质骨表面成骨和破骨反应。结论:外翻第1跖骨头内侧组织呈现以修复为主的广泛性慢性炎症反应表现。Objective：To observe pathological characteristic of bone and soft tissue of the medial aspect of the first metatarsal head in order to investigate the pathogenesis of hallux valgus. Methods： One hundred and twenty-three patients with hallux valgus （235 feet） were obtained from August 2003 to December 2004 in our department. The bone and soft tissue of the medial aspect of the first metatarsal head were taken out from the incision. The pathological conditions of specimen were observed by HE stain. Results：The pathological changes included：degeneration and desmoplasia around the attachment point of tendon and joint capsule, reactive hyperplasia of periost, decreasing of bone trabecula, cartilaginification of periost, cortical bone and tendon insertion, bone formation and osteoclasts response. Conclusion：The pathological changes of the medial aspect of the first metatarsal head of hallux valgus presented extensive chronic inflammation.

关 键 词：拇外翻 组织病理学 骨和骨组织 足 炎症 

分 类 号：R361[医药卫生—病理学] R682.6[医药卫生—基础医学]