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目的研究足跟距连合畸形的临床X线意义。方法观察773例踝部CRX线片,年龄10~81岁,男565例,女208例。按照性别、年龄、外伤和疼痛分组,研究跟距联合的发生率及有关X线征象。结果773例中足跟距联合畸形54例(7.00%),男女间无性别差异(P>0.25)。成人(>20岁)发生率8.60%(48/558),青年(10~19)岁为5.22%(6/115)。足疼痛组发生率9.79%(14/143),外伤组6.78%(40/630)。C征阳性占61.1%(33/54),后关节联合占38.9%(21/54),距骨颈短61.1%(33/54),距骨上钩22.2%(12/54)。结论在我国跟距联合畸形是较常见发育异常,应注意成年足踝疼痛病人该畸形的诊断。
Objective To study the significance of clinical X-ray in the heel-commissure deformity. Methods A total of 773 CRX radiographs of the ankle were observed. The age ranged from 10 to 81 years. There were 565 males and 208 females. Groups were grouped by sex, age, trauma and pain to study the incidence of follow-up and related X-ray findings. Results Among the 773 cases, 54 cases (7.00%) had combined deformity, there was no gender difference between men and women (P> 0.25). The incidence of adult (> 20 years) was 8.60% (48/558) and that of youth (10-19 years) was 5.22% (6/115). The incidence of pain in the foot group was 9.79% (14/143), and the trauma group was 6.78% (40/630). The positive sign of C was 61.1% (33/54), the posterior joint was 38.9% (21/54), the talus neck was 61.1% (33/54), and the talus was 22.2% (12/54). Conclusion In our country with the distance from the joint deformity is more common developmental abnormalities, should pay attention to adult ankle pain patients the diagnosis of the deformity.