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題 名 | Gouty Os Trigonum Tarsi: Case Report=痛風性足踝三角副骨症候群:病例報告 |
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作 者 | 賴伯亮; 楊文一; 陳文哲; 林博彥; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁509-513 |
分類號 | 416.26 |
關鍵詞 | 足踝三角副骨; 痛風; Os trigonum tarsi; Gout; |
語 文 | 英文(English) |
中文摘要 | 平均人口中的7%具有足踝三角副骨,但極少會產生症狀,一般是因為其它足部病 痛追蹤X光時無意發現的。文獻上有關足踝三角副骨症候群的病例大部份是芭蕾舞者或標槍 選手。我們提出一個病例:一名年輕男性有痛風史,因足踝疼痛前來就診,X光發現除足踝 三角副骨外,並無其他異常。手術中發現因痛風沉積使病灶比X光顯示還大,病患足踝伸直 時,痛風沉積之足踝三角副骨卡在脛骨與跟骨間產生症狀,術中將病灶完全切除。病理切片 發現痛風沉積形成假性腫瘤。術後合併藥物和飲食控制尿酸。追蹤2年足踝功能完好且X光顯 示並無復發跡象。 |
英文摘要 | Os trigonum tarsi is found in 7% of the world adult population. However, it rarely causes symptoms. The majority of patients with os trigonum tarsi are found incidentally. This condition is often found in ballet dancers, javelin throwers and soccer players. In rarely produces symptoms in normally active adults. The etiology of os trigonum syndrome is impingement of an unfused ossicle or a fractured posterior lateral tubercle of talus over the posterior rim of tibial plafond. We present a case of os trigonum syndrome in a young man. His posterior heel pain was due to tophaceous gout around the os trigonum tarsi, instead of the common pathogenesis of repeated hyperflexion of the ankle joint. Pictures of the specimen showed marked giant cell reaction which resulted in pseudotumor formation. We reviewed the clinical characteristics of os trigonum tarsi and gout and present the treatment of our patient. |
本系統中英文摘要資訊取自各篇刊載內容。