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引用次数: 0
摘要
研究目的足趾骨（Os vesalianum pedis，OVP）是一种罕见的足部附属骨，位于第五跖骨基部。它通常无症状，可在 X 光片上偶然发现。一旦出现症状，则表现为足部外侧疼痛。OVP可因外伤而出现症状，也可与骨折混淆。本研究旨在确定 OVP 在土耳其人群中的患病率和形态特征：对 5268 名 16 岁及以上（平均 39.65±17.21）第五跖骨骨化完成的人的 X 射线图像进行了 OVP 评估。在纳入研究的病例中，44.8% 为女性，55.2% 为男性。研究计算了OVP的总体患病率和基于性别的患病率，并进行了形态测量：结果表明：土耳其人口中的OVP患病率为0.15%，与性别无关。计算得出的OVP患病率男性为0.24%，女性为0.04%：解剖学、放射学、整形外科和急诊科医生在临床和教学实践中经常会遇到足部疾病。重要的是，在初步诊断时要牢记OVP的罕见存在（0.15%）。
The Prevalence and the Clinical Importance of os vesalianum pedis.
Purpose of the study: Os vesalianum pedis (OVP) is a rare accessory bone of the foot located at the base of the fifth metatarsal bone. It is usually asymptomatic and incidentally seen on radiographs. When symptomatic, it manifests itself with lateral foot pain. OVP, which can become symptomatic as a result of traumatic injuries, can also be confused with fracture. The aim of this study is to determine the prevalence and morphometric characteristics of OVP in the Turkish population.
Material and methods: Radiographic images of 5268 individuals aged 16 years and older (mean 39.65±17.21) who completed ossification of the fifth metatarsal bone were evaluated for OVP. Of the cases included in the study, 44.8% were female and 55.2% were male. The general and sex-based prevalence of OVP was calculated, and morphometric measurements were done.
Results: OVP prevalence in the Turkish population was found to be 0.15% regardless of sex. OVP prevalence was calculated to be 0.24% in men and 0.04% in women.
Conclusions: Anatomy, radiology, orthopedics and emergency medicine physicians are frequently encountered with foot disorders in clinical and educational practices. It is important to keep in mind the rare presence of OVP (0.15%), in the preliminary diagnosis.
Key words: os vesalianum pedis, accessory ossicle, foot, radiography.
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