成人足舟骨坏死诊疗研究现状  

Research status of diagnosis and treatment of adult scaphoid necrosis of foot

作　　者：汤永志 郝军 王佳[2] 曾宪铁[2] TANG Yongzhi;HAO Jun;WANG Jia;ZENG Xiantie(College of Acupuncture and Massage,Tianjin University of Traditional Chinese Medicine,Tianjin,300000;the Second Ward of Traumatic Foot and Ankle,Tianjin Hospital in Tianjin,Tianjin,300000)

机构地区：[1]天津中医药大学针灸推拿学院,天津300000 [2]天津市天津医院创伤足踝二病区,天津300000

出　　处：《实用临床医药杂志》2022年第4期146-148,共3页Journal of Clinical Medicine in Practice

摘　　要：成人足舟骨坏死(Müller-Weiss病)通常呈双侧分布,患者主要表现为足部疼痛,伴有足舟骨畸形,出现足舟骨进行性坏死,最终内侧足弓代偿性变低,导致平足及“距楔关节”形成。该病治疗保守治疗无效的前提下,首选为手术治疗。本文就Müller-Weiss病的临床特征、影像学特点、鉴别诊断和治疗方法等予以综述研究。Adult scaphoid necrosis of foot(Müller-Weiss disease) is usually distributed bilaterally, and the patients initially have symptoms of foot pain and complicated scaphoid deformity, and then followed by progressive necrosis of the scaphoid, and finally evolve into the formation of flat foot and “cuneonavicular joint”due to compensatory decline of the internal foot arch. Surgical treatment is a preferred choice when the conservative treatment is failed. This paper reviewed the clinical features, imaging features, differential diagnosis and therapeutic methods of Müller-Weiss disease.

关 键 词：成人足舟骨坏死 Müller-Weiss病 三关节融合 距舟关节融合 足舟骨畸形 足舟骨缺血性坏死 

分 类 号：R682.6[医药卫生—骨科学] R445[医药卫生—外科学]