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These include fluid within the tendon sheath, fluid withinthe medial or lateral bursae, sinus tarsi syndrome, periostitisat the insertion of the flexor retinaculum on the tibia, hindfootvalgus, subtalar and talonavicular malalignment, and accessorynavicular bone.
这些包括腱鞘内、内外侧滑膜内水分滞留,跗骨窦综合症、屈肌支持带的胫骨侧附着处骨膜炎、后足外翻、距下关节和距舟关节排列不整及副舟骨。
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Results MRI can visualize inflammatory,degenerative and traumatic changes in the small tarsal sinus.
结果 MRI能显示跗骨窦内组织的炎症、变性或损伤。
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The rate of excellent and good clinical results was 83.3%. Mild forefoot adduction was left in 2 feet of 2 cases and quite obvious tarsal articular ankylosis was found in 4 feet of 4 cases; however, there were no significant differences of gait and load bearing between these patients and normal children.
有2例2足遗留轻度前足内收畸形,4例4足有较明显的跗骨间关节僵硬,但其步态和负重力线均与正常儿童无明显差别。
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In the 15 patients with type Ⅱinjury, 8 had marrow edema in adjacent bones (53%), 6 had abnormalities in the sinus tarsi (40%), 8 had fluid in the tendon sheath (53%), 9 had fractures of the ankle or foot (60%), respectively.
在 15例Ⅱ型胫后肌腱损伤的病例中,8例(5 3 %)有邻近骨的水肿,6例(4 0 %)有跗骨窦异常改变,8例(5 3 %)有腱鞘内积液,9例(60 %)有踝关节或跖距骨的骨折。
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Abnormalities in the sinus tarsi (40%), 8 had fluid in the tendon sheath (53%), 9 had fractures of the ankle or
在 15例Ⅱ型胫后肌腱损伤的病例中,8例(5 3 %)有邻近骨的水肿,6例(4 0 %)有跗骨窦异常改变,8例(5 3 %)有腱鞘内积液,9例(60 %)有踝关节或跖距骨的骨折。
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After anat omic reducation each speciment was randomly fixed with one of four methods(two c rossed Kirschner pins,four crossed Kirschner pins,stainless steel wire suture and cancellous screws ) and tested.
应用克氏针或松质骨螺钉内固定时,必须在第一跖跗关节稳定的基础上,经第一、二跖骨基底和第三楔骨交叉穿一克氏针或螺钉,使第二跖骨基底得两点固定。
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Method]from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.
方法]2003年1月~2006年5月,根据ilizarov张力应力法则,应用秦泗河改良的外固定矫形器,遵循ilizarov穿针固定的基本原则,共手术治疗马蹄内翻足32例,男15例,女17例;年龄10~25岁,平均17岁。病因:腓总神经损伤2例,腰椎管内肿瘤1例,硬脊膜膨出5例,小儿麻痹后遗症11例,先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例,用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄,确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术,25例同期实施了有限的截骨术和跗骨间关节融合术,9例合并踝关节内外翻肌力明显失衡者,同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序,7 d开始旋转相应的螺纹牵拉杆,对器械进行三维空间的缓慢调整,先矫正前足内收和后足内翻,后矫正足下垂畸形,直至达到矫形要求的标准。在矫形的过程中定期进行x线检测,以防止发生踝关节前后移位,治疗期间允许患足负重行走。术后平均牵伸42 d,拆外固定器后患足再上石膏固定适当时间。
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Resistant congenital club foot-one-stage posteromedial re-lease with snternal fixation.
先天性马蹄内翻足软组织手术后跗骨骨骼形态变化的病理基础。
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intratarsal:跗骨内的
intrastelar 中柱内的 | intratarsal 跗骨内的 | intratectal 覆盖层内的