Cuboid

长方体
  • 文章类型: Case Reports
    孤立的长方体骨髓炎是一种罕见的实体,在世界范围内很少有病例报告。描述了针对这些病变的多种治疗方法,单阶段和两阶段,范围从简单的刮除到植骨和关节固定术。
    我们介绍了一系列两例年轻人由于足外侧的穿刺伤口而导致的慢性骨髓炎。两名患者均表现为外侧足窦的脓性分泌物。其中没有相邻骨头的参与。培养产生金黄色葡萄球菌和铜绿假单胞菌。两名患者均接受了充分的刮动治疗,其中一例采用松质骨移植术。两种伤口均愈合顺利,脚踝和后足功能良好。
    长方体是慢性骨髓炎的罕见部位,由于有异物的伤口,尤其是农村人口。细致的刮宫和植骨,感染可以可靠地根除,通常具有良好的残留功能。
    UNASSIGNED: Isolated osteomyelitis of the cuboid is a rare entity with very few case reports worldwide. A variety of treatment methods are described for these lesions, both single-stage and two staged and ranges from simple curettage to bone grafting and arthrodesis.
    UNASSIGNED: We present a series of two cases of chronic osteomyelitis in young adults due to puncture wound over the lateral foot. Both patients presented with purulent discharge from sinus over lateral foot. There was no involvement of adjoining bones in them. Culture yielded Staphylococcus aureus and Pseudomonas aeruginosa. Both patients were treated with adequate curetting, saucerization with cancellous bone grafting in one of the cases. Both wounds healed uneventfully with good ankle and hindfoot function.
    UNASSIGNED: The cuboid is a rare site of chronic osteomyelitis due to punture wounds with foreign bodies, especially in rural population. With meticulous curettage and bone grafting, the infection can be eradicated reliably and usually with good residual function.
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  • 文章类型: Case Reports
    长方体脱位是罕见的中足损伤,通常发生在高能创伤的背景下。诊断可能具有挑战性,最佳治疗仍然未知。本病例报告和综述旨在总结有关该主题的最新文献。
    Cuboid dislocations are rare midfoot injuries that usually occur in the setting of high-energy trauma. Diagnosis can be challenging and optimal treatment remains unknown. This case report and review aims to summarize the recent literature on this topic.
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  • 文章类型: Case Reports
    BACKGROUND: Brodie\'s abscess of cuboid bone is one of the rarest diagnosis in children which most often is hematogenous in origin. Although Streptococcus pyogenes has been uncommonly implicated as causative organism in other bones, it is not yet reported in the cuboid.
    METHODS: We report the case of 14-year-old boy who presented with a lytic lesion in the cuboid bone. It was preceded by a penetrating injury with a small iron nail. He was treated with simple curettage without the addition of bone graft. Frank pus present in the cavity in the cuboid bone grew S. pyogenes on bacterial culture. Symptoms resolved after 6 weeks of antibiotics, however, complete radiological healing was obtained after 9 months.
    CONCLUSIONS: Although very rare, S. pyogenes associated Brodie\'s abscess should strongly be suspected in a posttraumatic lytic lesion in the cuboid bone and bone grafting is not always required for bone healing even in presence of large pus-filled cavity.
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  • 文章类型: Journal Article
    BACKGROUND: Cuboid syndrome is thought to be a common source of lateral midfoot pain in athletes.
    METHODS: A Medline search was performed via PubMed (through June 2010) using the search terms cuboid, syndrome, subluxed, locked, fault, dropped, peroneal, lateral, plantar, and neuritis with the Boolean term AND in all possible combinations. Retrieved articles were hand searched for additional relevant references.
    RESULTS: Cuboid syndrome is thought to arise from subtle disruption of the arthrokinematics or structural congruity of the calcaneocuboid joint, although the precise pathomechanic mechanism has not been elucidated. Fibroadipose synovial folds (or labra) within the calcaneocuboid joint may play a role in the cause of cuboid syndrome, but this is highly speculative. The symptoms of cuboid syndrome resemble those of a ligament sprain. Currently, there are no definitive diagnostic tests for this condition. Case reports suggest that cuboid syndrome often responds favorably to manipulation and/or external support.
    CONCLUSIONS: Evidence-based guidelines regarding cuboid syndrome are lacking. Consequently, the diagnosis of cuboid syndrome is often based on a constellation of signs and symptoms and a high index of suspicion. Unless contraindicated, manipulation of the cuboid should be considered as an initial treatment.
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