肥大性腓骨结节伴腓骨肌腱腱鞘炎

Q. Vermeulen, T. Decorte, B. De Coninck, K. Watteyne, L. Vanden Bossche
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摘要

腓骨结节肥大:腓骨肌腱滑膜炎的罕见病因 腓骨结节肥大是腓骨肌腱滑膜炎的罕见病因。小腿骨的腓骨结节是一种解剖结构,具有结构和生物力学功能。如果形状和大小异常,就会对腓骨肌腱造成摩擦或撞击,导致腱鞘炎和/或肌腱撕裂。临床上,患者表现为腱鞘炎,在小腿外侧可触及突出的腓骨结节。放射线检查和超声波检查足以确诊。为了更好地观察骨性结构和软组织,通常还需要进行 CT 扫描和核磁共振成像检查。治疗包括至少 6 周的保守治疗。如果治疗失败或肌腱撕裂,可能需要进行手术。
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Hypertroof peroneaal tuberculum met tenosynovitis van de peroneuspezen
Hypertrophy of the peroneal tubercle: a rare cause of peroneal tendon synovitis Hypertrophy of the peroneal tubercle is a rare cause of peroneal tendon synovitis. The peroneal tubercle of the calcaneal bone is an anatomical structure with both structural and biomechanical functions. When abnormal in shape and size, it can cause friction or impingement of the peroneal tendons, resulting in tenosynovitis and/or tendon tears. Clinically, the patient presents with tenosynovitis and a prominent peroneal tubercle palpable on the lateral calcaneus. A radiography and an ultrasound are sufficient for the diagnosis. An additional CT scan and MRI are often performed to better visualize the bony structures and soft tissues, respectively. The treatment consists of conservative therapy for at least 6 weeks. If this therapy fails or if the tendon is torn, surgery may be required.
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