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題 名 | Hypertrophic Peroneal Tubercle with Stenosing Tenosynovitis: The Results of Surgical Treatment=跟骨腓肌腱骨突肥大增生合併狹窄性肌腱炎:外科治療之結果 |
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作 者 | 陳永仁; 許文蔚; 黃聰仁; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁442-446 |
分類號 | 418.92 |
關鍵詞 | 跟骨腓肌腱骨突肥大; 狹窄性肌腱炎; Hypertrophic peroneal tubercle; Stenosing tenosynovitis; |
語 文 | 英文(English) |
中文摘要 | 背景:跟骨腓肌腱骨突肥大增生時,易形成狹窄的通道。當腓長肌腱通過此狹窄通 道時,易受到壓迫而產生臨床症狀。由於跟骨腓肌腱骨突增生較為罕見,病患敘被延誤診, 而使病患長期伴有後足部疼痛及足部功能減退。本篇將研究其診斷及治療結果。 方法:本研究共有6例跟骨腓肌腱骨突肥大病例,4例為女性,2例為男性,平均年齡為26歲 。臨床症狀為跟骨外側後上方結節突起伴有壓痛,足踝活動時疼痛加劇。C-T檢查及X-光攝 影均發現一骨性突起於跟骨外側,病人經保守療法無效後,施以外科治療。 結果:開刀發現,6例均有跟骨腓肌腱骨突肥大增生。單純狹窄性肌腱炎有3例,另3例除了 狹窄性肌腱炎之外,合併腱鞘囊腫1例,合併腓神經分枝壓迫症1例,合併皮下滑囊炎1例。 手術方法為腓肌腱骨突全切除術及肌腱骨滑膜切除術。術後(平均35個月),病人接受功能 性評估(包括疼痛、活動強度、關節活動範圍、腓肌肌力及鞋類選擇),其結果顯示,6例 病例均獲滿意的結果。 結論:仔細的臨床及放射線檢查,可鑑別診斷跟骨腓肌腱骨突增生的症狀。當保守療法無效 時,施以骨突全切除術及肌腱骨滑膜切除術,可獲得良好的功能性結果。 |
英文摘要 | Background: A hypertrophic peroneal tubercle creates a stenotic tunnel which triggers a painful peroneal longus. The painful condition is rare, so delayed diagnosis frequently occurs. The purpose of this study was to retrospectively analyze the diagnosis and functional results of the condition. Materials and Methods: A consecutive series of 6 patients with painful hypertrophy of the peroneal tubercle was surgically treated with simple resection of the peroneal tubercle and tenosynovectomy. There were 4 women and 2 men with a median age of 26 yeras. The clinical symptoms included a prominence at the lateral calcaneus with tenderness. The symptoms were exaggerated with ankle motion. X-ray and computed tomography scanning revealed a bony prominence at the lateral calcaneal cortex. Results: An enlarged peroneal tubercle and stenosing tenosynovitis were found in all patients. The associated findings included a ganglion cyst in one patient, entrapment of a branch of the sural nerve in one patient, and skin callatosis with bursitis in one patient. After a median follow-up period of 35 months, all patients had achieved satisfactory functional results, which included freedom from pain, good peroneal muscle power, good range of motion of the foot, and no limitation in footwear. Conclusion: In summary, the clinical symptoms caused by a hypertrophic peroneal tubercle rarely occurred. However, the diagnosis could be made with careful clinical and radiographic examinations. The symptoms were successfully treated by the complete resection of the tubercle, tenosynovectomy, and early range of motion exercise of the hinfoot joints. |
本系統中英文摘要資訊取自各篇刊載內容。