足跗骨发育变异的X线研究  

Radiographic Study of the Variations on Development of the Foot Tarsal

作　　者：马钦华[1] 陈琦[2] 王建国[1] 郭琪[3] 陈志刚[3] 杨广夫[4] 

机构地区：[1]深圳市罗湖区人民医院放射科,广东深圳518001 [2]深圳市罗湖区人民医院儿科 [3]深圳市第二人民医院放射科 [4]西安交通大学第一医院影像中心

出　　处：《实用放射学杂志》2003年第9期814-816,共3页Journal of Practical Radiology

摘　　要：目的　研究足跗骨在不同生长阶段发育变异的发生率 ,年龄分布和形态特点。方法　对出生后～ 18岁正常人群右足正、侧位X线照片 2 0 3 5例 (男 10 68例 ,女 967例 ;1岁一个年龄组 ,每组 3 8～ 98例 )进行观察。结果　出现发育变异 72 1例 (3 5 .43 % ) ,其中男 3 5 6例 (3 3 .3 3 % ) ,女 3 65例 (3 7.75 % )。暂时性发育性跟骨刺 (1.10 % )和跟骨多骨化中心 (0 .5 0 % )见于 0～ 5岁 ;内楔骨不规则骨化 (0 .70 % ) ,内楔骨双骨化中心 (0 .95 % )和舟骨双骨化中心 (1.74% )见于 2～ 8岁 ;跟骨营养血管孔 (3 .44 % )和跟骨骨髓窦 (16.10 % )见于 1～ 18岁 ;距骨三角骨 (2 .64 % ) ,胫外骨 (或副舟骨 ) (6.18% )和跟距骨桥 (7.0 4% )见于 7～ 18岁。Objective To investigate the percentage, age distributions and shape features of growth variations in the foot tarsal on different growth periods.Methods The right foot anterior-posterior and lateral radiographs from postnatal to 18-year-old in normal 2035 cases were observed(male 1068,female 967,one group per year,every group 38～98 cases).Results There were 721 cases (35.43 %)with growth variations in the foot tarsal on different growth periods,of them male were 356 cases (33.33%),female were 365 cases(37.33%). The temporay growth calcaneal spur(1.10%)and the calcaneal multi-ossification centers(0.50%)were appeared from postnatal to 5 years, irregular ossification of the first cuneiform(0.70%), double ossification centers of the first cuneiform(0.70%)and scaphoid(0.95%)were formed from 2 to 8 years. The nutrient blood vessel hole of the calcaneum(3.44%)and the calcaneal marrow antrum(16.10%)were presented from 1 to 18 years. Deltoid os of the talus(2.64%), the accessorial scaphoid(6.18%)and the osteal-bridge between the calcaneum and talus(7.04%)were demonstrated from 7 to 18 years, respectively.Conclusion It is important to differentiate foot diseases from foot tarsal variations on different growth period.

关 键 词：足跗骨 骨发育变异 X线 诊断 胫外骨 

分 类 号：R681.8[医药卫生—骨科学] R816.8[医药卫生—外科学]