医学
齿轮
跟骨
病变
外科
计算机科学
人工智能
作者
Juliette Wartelle,Bastien Hocquet,Giovanni Lucchesi,Raphaël Coursier,Nathalie Boutry,Jean-François Budzik,Damien Fron,S. Bourelle,Éric Nectoux,Federico Canavese
标识
DOI:10.1016/j.fas.2022.03.002
摘要
The too-long anterior process (TLAP) increases mechanical stress on the hindfoot and could lead to osteochondral lesions of the talus (OLT) by localized hyper-pressure. The purpose of this study is to investigate an association between TLAP and OLT in children. This is a retrospective, multicenter, case-control study conducted between 2010 and 2020. The OLT group was compared to a control group (CoG). TLAP is characterized by a distance between the anteromedial process of the calcaneus and the navicular bone (CN) of< 5 mm. Forty-three feets were included in the OLT group and 92 in the CoG. The OLT group had a lower CN distance on CT than the CoG, a median of 2.8 mm versus 3.75 mm (p = 0.002); 86% of patients (37 feet/43) in the OLT group had a CN distance of< 5 mm (OR=3.0 [1.1; 9.5], p = 0.023) compared to 67% in the CoG. The OLT group had an increased risk of developing TLAP compared to the CoG. III.
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