罕见载距小骨畸形1例并文献复习  

A rare case of accessory talar ossicle malformation and literature review

作　　者：黄跃华 陆志方 范春海 隋启军 王馨悦 陈玉文 HUANG Yue-hua;LU Zhi-fang;FAN Chun-hai;SUI Qi-jun;WANG Xin-yue;CHEN Yu-wen(Department of Hand and Foot Surgery,Shangqiu Municipal Hospital,Shangqiu,Henan Province 476400,Chi-na;School of Health Medicine,Guangzhou Hua Business College,Guangzhou,Guangdong Province 511300,Chi-na;Department of Radiology,Shangqiu Municipal Hospital,Shangqiu,Henan Province 476400,China)

机构地区：[1]商丘市立医院创伤显微手足外科,河南商丘476400 [2]广州华商学院健康医学院,广东广州511300 [3]商丘市立医院放射科,河南商丘476400

出　　处：《解剖学研究》2024年第1期65-69,共5页Anatomy Research

摘　　要：目的通过1例载距小骨畸形病例,结合相关文献复习,系统阐述载距小骨畸形的病因、病理、诊断、解剖、治疗及预后。方法收集1例载距小骨畸形的病史、症状、影像资料,明确诊断,行载距小骨摘除、跟距关节成形术,术后石膏外固定4周,拆除石膏后开始康复锻炼;同时,对相关文献资料进行复习、归纳总结分析。结果患者治疗后肢体恢复好,无疼痛、麻木等不适,行走正常。结论载距小骨畸形是一种罕见的先天性畸形,文献资料鲜见记载,学术界对载距小骨畸形认识尚不足,容易发生漏诊、误诊,对该疾病的治疗尚无指导意见。应根据患者具体情况制定合适的治疗方案,早诊断、个体化治疗,纠正局部解剖结构和功能,尽可能恢复局部关节功能。Objective To reports a case of small talar deformity,and reviews the relevant literature to sys⁃tematically describe the etiology,pathology,diagnosis,treatment and prognosis of talar ossicle malformation.Meth⁃ods The date of history,symptoms,imaging materials,clear diagnosis,carrying a small bone removal,healing joint forming,fixed 4 weeks of gypsum after surgery,rehabilitation exercises about talar ossicle malformation were all recorded in detail.The relevant literature was reviewed and summarized.Results Patients in this study have re⁃covered their limbs after treatment,without pain,numbness and other discomforts,and walking normally.Conclu⁃sion The academic community is not enough to know the lacked bone deformity,and it is prone to missed diagno⁃sis and misdiagnosis.There is no guidance or expert consensus on the treatment of the disease.We believe that the appropriate treatment plans should be made according to the specific conditions of patients,early diagnosis,individ⁃ualized treatment,correction of local anatomical structure and function,and restoration of local joint function as much as possible.

关 键 词：载距小骨 罕见病 跟距骨桥 跟距关节疼痛 畸形 

分 类 号：R687.3[医药卫生—骨科学]