Accessory navicular(AN)is a developmental variation of the secondary ossification center of the navicular tuberosity.Ten percent of patients with AN will have pain symptoms that affect walking and life.As the AN chang...Accessory navicular(AN)is a developmental variation of the secondary ossification center of the navicular tuberosity.Ten percent of patients with AN will have pain symptoms that affect walking and life.As the AN changes the position of the posterior tibial tendon insertion,children with AN often have posterior tibial tendon function insufficiency and flexible flat foot.Surgical treatment is often required after failure of conservative treatment.This article reviewed the etiology,clinical manifestations,complications,and treatment methods of AN.展开更多
Fracture dislocation of the navicular bone~ fracture of the cuboid, cuneiform, and longitudinal split fracture of the lateral malleolus is a rare combination of fractures. This is a high velocity injury fracture and c...Fracture dislocation of the navicular bone~ fracture of the cuboid, cuneiform, and longitudinal split fracture of the lateral malleolus is a rare combination of fractures. This is a high velocity injury fracture and can be caused by forcible plantar flexion and inversion of the foot at the time of impact onto the ground. Here we reported such a case in a 35-year-old male patient who was treated by open reduction and fixation with a partially threaded screw and two K-wires for the navicular bone,and two interfragmentary screws with a one third tubular plate for the lateral malleolus. K-wires were removed 6 weeks after surgery followed by partial weight bearing. After 6 months, the patient can walk normally with minimal pain and swelling of the foot.展开更多
A 33 years old female patient presented with posttraumatic pain in the right ibot tor which radiographs of the right foot was advised. No fracture was detected on radiographs and patient was managed conservatively on ...A 33 years old female patient presented with posttraumatic pain in the right ibot tor which radiographs of the right foot was advised. No fracture was detected on radiographs and patient was managed conservatively on medications and posterior splint immobilization. We found coincidentally a short fourth metatarsal and an accessory navicular bone in the right foot radiographs. After 3 weeks of immobilization, she underwent mobilization of the right foot, weight bearing and intensive physio- therapy for 6 weeks. After two months of injury she was still complaining of pain on the plantar aspect of right foot which was diagnosed as metatarsalgia and operated on by excision of the neuroma present in the 3rd web space of the right foot. After surgery she was completely relieved of pain and could do activities well related to the right foot.展开更多
副舟骨疼痛综合征是部分副舟骨患者的常见慢性病。采用专业鞋具及鞋垫干预是其有效解决途径之一。本研究分析了穿鞋前后疼痛评分、中足功能评分、胫骨后肌肌张力及行走小腿肌电特征,发现使用副舟骨综合征防护鞋及鞋垫12个月后总体有效率...副舟骨疼痛综合征是部分副舟骨患者的常见慢性病。采用专业鞋具及鞋垫干预是其有效解决途径之一。本研究分析了穿鞋前后疼痛评分、中足功能评分、胫骨后肌肌张力及行走小腿肌电特征,发现使用副舟骨综合征防护鞋及鞋垫12个月后总体有效率为71.43%、疼痛VAS(Visual Analog Scale)评分由(5.23±1.21)分降为(3.12±1.33)分,中足功能评分由(72.23±5.62)分升高到(85.36±1.33)分,胫骨后肌肌张力由(24.24±1.65)Hz降为(18.67±2.12)Hz,胫骨前肌标准化RMS(Root Mean Square)相对值由1.25±0.35降为0.95±0.21,腓肠肌外侧头标准化RMS相对值由0.94±0.34升为1.38±0.35。副舟骨综合征防护鞋及鞋垫对提升有效率、降低疼痛程度、提升中足功能、降低胫骨后肌肌张力及胫骨前肌标准化RMS相对值、提高腓肠肌外侧头标准化RMS相对值有显著作用。展开更多
文摘Accessory navicular(AN)is a developmental variation of the secondary ossification center of the navicular tuberosity.Ten percent of patients with AN will have pain symptoms that affect walking and life.As the AN changes the position of the posterior tibial tendon insertion,children with AN often have posterior tibial tendon function insufficiency and flexible flat foot.Surgical treatment is often required after failure of conservative treatment.This article reviewed the etiology,clinical manifestations,complications,and treatment methods of AN.
文摘Fracture dislocation of the navicular bone~ fracture of the cuboid, cuneiform, and longitudinal split fracture of the lateral malleolus is a rare combination of fractures. This is a high velocity injury fracture and can be caused by forcible plantar flexion and inversion of the foot at the time of impact onto the ground. Here we reported such a case in a 35-year-old male patient who was treated by open reduction and fixation with a partially threaded screw and two K-wires for the navicular bone,and two interfragmentary screws with a one third tubular plate for the lateral malleolus. K-wires were removed 6 weeks after surgery followed by partial weight bearing. After 6 months, the patient can walk normally with minimal pain and swelling of the foot.
文摘A 33 years old female patient presented with posttraumatic pain in the right ibot tor which radiographs of the right foot was advised. No fracture was detected on radiographs and patient was managed conservatively on medications and posterior splint immobilization. We found coincidentally a short fourth metatarsal and an accessory navicular bone in the right foot radiographs. After 3 weeks of immobilization, she underwent mobilization of the right foot, weight bearing and intensive physio- therapy for 6 weeks. After two months of injury she was still complaining of pain on the plantar aspect of right foot which was diagnosed as metatarsalgia and operated on by excision of the neuroma present in the 3rd web space of the right foot. After surgery she was completely relieved of pain and could do activities well related to the right foot.
文摘副舟骨疼痛综合征是部分副舟骨患者的常见慢性病。采用专业鞋具及鞋垫干预是其有效解决途径之一。本研究分析了穿鞋前后疼痛评分、中足功能评分、胫骨后肌肌张力及行走小腿肌电特征,发现使用副舟骨综合征防护鞋及鞋垫12个月后总体有效率为71.43%、疼痛VAS(Visual Analog Scale)评分由(5.23±1.21)分降为(3.12±1.33)分,中足功能评分由(72.23±5.62)分升高到(85.36±1.33)分,胫骨后肌肌张力由(24.24±1.65)Hz降为(18.67±2.12)Hz,胫骨前肌标准化RMS(Root Mean Square)相对值由1.25±0.35降为0.95±0.21,腓肠肌外侧头标准化RMS相对值由0.94±0.34升为1.38±0.35。副舟骨综合征防护鞋及鞋垫对提升有效率、降低疼痛程度、提升中足功能、降低胫骨后肌肌张力及胫骨前肌标准化RMS相对值、提高腓肠肌外侧头标准化RMS相对值有显著作用。
