Cuboid

长方体
  • 文章类型: Case Reports
    足的结核性(TB)骨髓炎是一种罕见的实体,由于其非典型表现和与其他足部病理相似,通常会导致诊断挑战。
    一名19岁男性左脚持续疼痛和放电9个月。尽管以前有切口和引流,病情进展。临床检查显示1×1厘米肿胀,边缘硬结,窦排出。影像学诊断提示骨髓炎,通过组织病理学检查确认为结核病,显示干酪样坏死和朗格汉斯巨细胞。
    该病例说明了在慢性足部病变的鉴别诊断中考虑结核性骨髓炎的重要性,并强调了手术和医疗联合治疗的有效性。
    UNASSIGNED: Tuberculous (TB) osteomyelitis of the foot is a rare entity, often leading to diagnostic challenges due to its atypical presentation and similarity to other foot pathologies.
    UNASSIGNED: A 19-year-old male presented with persistent pain and discharge in the left foot for 9 months. Despite previous incision and drainage, the condition progressed. Clinical examination revealed a 1 × 1 cm swelling with indurated margins and a discharging sinus. Diagnostic imaging suggested osteomyelitis, confirmed as TB in nature through histopathological examination, revealing caseous necrosis and langerhans giant cells.
    UNASSIGNED: This case illustrates the importance of considering TB osteomyelitis in differential diagnoses of chronic foot lesions and highlights the effectiveness of combined surgical and medical management.
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  • 文章类型: Journal Article
    舟骨和长方体骨折可能复杂且难以治疗。根据损伤的机制,由于中足骨骼的不规则性和重叠性,使用常规X射线照片并不总是可能诊断此类骨折。如果高度怀疑骨折或进一步表征移位的骨折,则应进行高级成像。长方体和舟骨骨折可以单独发生,但由于解剖关系,通常与其他中足损伤有关。通常,非移位骨折可以保守治疗,而移位的骨折需要手术干预,以防止未来的并发症。
    Navicular and cuboid fractures can be complex and difficult to treat. Depending on the mechanism of injury, diagnosis of such fractures is not always possible with conventional radiographs due to the irregularity and overlap of the midfoot bones. Advanced imaging is indicated if a fracture is of high suspicion or to further characterize a displaced fracture. Cuboid and navicular fractures can occur in isolation but are often associated with other midfoot injuries due to their anatomic relationships. Typically, nondisplaced fractures can be treated conservatively, whereas displaced fractures require surgical intervention to prevent future complications.
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  • 文章类型: Journal Article
    我们描述了一位精英青年足球运动员,他出现了以前未知来源的外侧脚痛。描述了全面的患者病史和体格检查以及计算机断层扫描(CT)和磁共振成像(MRI)扫描的影像学发现的深入介绍。通过这种组合,解决了这个难题,并诊断出由于长方体凹槽中的骨刺引起的罕见腓骨长肌腱病。腓骨长骨探索,进行了长方体骨刺的释放和复位,然后进行了强化康复阶段。患者成功恢复了表演,并开始了职业足球生涯。
    We describe an elite youth football player who developed lateral foot pain of previously unknown origin. A thorough patient history and physical examination as well as an in-depth presentation of radiographic findings on Computed tomography (CT) and Magnetic Resonance Imaging (MRI) scan were described. Through this combination, the puzzle was resolved and a rare peroneus longus tendinopathy due to bony spurs in the cuboid groove was diagnosed. A peroneus longus exploration, release and reduction of the cuboidal bone spurs was performed and intensive rehabilitation phase followed. The patient successfully returned to performance and set a career in professional football.
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  • 文章类型: Journal Article
    在选择钉固定以优化后足手术期间的骨购买时,了解跟骨(CCJ)的解剖结构仍然至关重要。这项解剖学研究定量描述了与钉固定部位有关的CCJ。解剖了10具尸体的跟骨和长方体。在背侧测量距关节5毫米和10毫米的宽度,中线,和每根骨足底的三分之一。使用Studentt检验比较每个位置的5mm和10mm增量之间的宽度。使用ANOVA然后事后测试比较两个距离处的位置之间的宽度。统计学显著性设定为p≤0.05。跟骨的中部(23±3mm)和足底三分之一(18±3mm)在10mm的间隔大于5mm的间隔(p=.04)。在距离CCJ5毫米处,长方体背三分之一的宽度比足底三分之一的宽度有统计学意义(p=.02)。5mm(p=.001)和10mm(p=.005)背侧跟骨宽度以及5mm(p=.003)和10mm(p=.007)中部跟骨宽度显着大于足底宽度。这项研究支持在背侧和中线方向上使用距CCJ10mm的20mm订书钉。在靠近CCJ的10mm范围内放置足底钉时应格外小心,因为与背侧和中线放置相比,腿可能会延伸到内侧皮质之外。
    Understanding the anatomy of the calcaneocuboid (CCJ) remains essential when selecting staple fixation to optimize osseous purchase during rearfoot procedures. This anatomic study quantitatively describes the CCJ in relation to staple fixation sites. The calcaneus and cuboid from 10 cadavers were dissected. Widths at 5 mm and 10 mm increments away from the joint were measured in dorsal, midline, and plantar thirds of each bone. The widths between each position\'s 5 mm and 10 mm increments were compared using the Student\'s t test. The widths among the positions at both distances were compared using an ANOVA then post hoc testing. Statistical significance was set at p ≤ 0.05. The middle (23 ± 3 mm) and plantar third (18 ± 3 mm) of the calcaneus at the 10 mm interval was greater than the 5 mm interval (p = .04). At 5 mm distal to the CCJ, the dorsal third of the cuboid maintained a statistically significant greater width than the plantar third (p = .02). The 5 mm (p = .001) and 10 mm (p = .005) dorsal calcaneus widths as well as the 5 mm (p = .003) and 10 mm (p = .007) middle calcaneus widths were significantly greater than the plantar widths. This investigation supports the use of 20 mm staple 10 mm away from the CCJ in dorsal and midline orientations. Care should be taken when placing a plantar staple within 10 mm proximal to the CCJ as the legs may extend beyond the medial cortex compared to dorsal and midline placements.
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  • 文章类型: Journal Article
    UNASSIGNED:使用足踝骨的计算机断层扫描(CT)衰减进行骨质疏松症的机会性筛查。
    UNASSIGNED:回顾性研究了来自三级护理学术中心的163名连续患者,这些患者在1年内接受了足部或踝关节的CT扫描和双能X线吸收法(DXA)。在3D切片器中对脚和脚踝的每个骨骼进行体积分割,以获得平均CT衰减。Pearson的相关性用于将CT衰减彼此关联以及与DXA测量值关联。在训练/验证和测试数据集中,使用具有各种内核和主成分分析(PCA)的支持向量机(SVM)来预测骨质疏松症和骨质减少/骨质疏松症。
    未经评估:距骨的CT衰减测量,跟骨,舟骨,长方体,和楔形文字彼此相关,并与L1-4腰椎的BMDT评分呈正相关,臀部,和股骨颈;然而,与L1-4骨小梁评分无显著相关性。在训练/验证数据集中,跟骨的CT衰减阈值为143.2Hounsfield单位(HU)是检测骨质疏松症的最佳方法。在测试数据集中,具有径向基函数(RBF)核的SVM在预测骨质疏松症方面明显优于PCA模型和跟骨。
    UNASSIGNED:利用足、踝骨的CT衰减,可以进行骨质疏松的机会性筛查。使用所有骨骼的RBF的SVM比跟骨的CT衰减更准确。
    UNASSIGNED: To use the computed tomography (CT) attenuation of the foot and ankle bones for opportunistic screening for osteoporosis.
    UNASSIGNED: Retrospective study of 163 consecutive patients from a tertiary care academic center who underwent CT scans of the foot or ankle and dual-energy X-ray absorptiometry (DXA) within 1 year of each other. Volumetric segmentation of each bone of the foot and ankle was done in 3D Slicer to obtain the mean CT attenuation. Pearson\'s correlations were used to correlate the CT attenuations with each other and with DXA measurements. Support vector machines (SVM) with various kernels and principal components analysis (PCA) were used to predict osteoporosis and osteopenia/osteoporosis in training/validation and test datasets.
    UNASSIGNED: CT attenuation measurements at the talus, calcaneus, navicular, cuboid, and cuneiforms were correlated with each other and positively correlated with BMD T-scores at the L1-4 lumbar spine, hip, and femoral neck; however, there was no significant correlation with the L1-4 trabecular bone scores. A CT attenuation threshold of 143.2 Hounsfield units (HU) of the calcaneus was best for detection of osteoporosis in the training/validation dataset. SVMs with radial basis function (RBF) kernels were significantly better than the PCA model and the calcaneus for predicting osteoporosis in the test dataset.
    UNASSIGNED: Opportunistic screening for osteoporosis is possible using the CT attenuation of the foot and ankle bones. SVMs with RBF using all bones is more accurate than the CT attenuation of the calcaneus.
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    文章类型: Case Reports
    BACKGROUND: Osteoblastoma is a benign, aggressive and rare osteoblastic tumor. Its most common location is in later elements of the spine and sacrum. The cuboid presentation is exceptional.
    METHODS: A 50-year-old male who began her condition in 2005, with pain and increased volume in the dorsolateral region of the middle foot. X-rays show bone grafting and a cuboid lesion, radiotransparent, heterogeneous, multilobed, with irregular edges that exceeds the lateral cortical. Angiotomography was performed where hypervascularized injury was observed; bone scan showed uptake of technetium 99, and MRI reported an injury with post-surgical, cystic and multilobed changes. Trans surgical biopsy was taken, increased atypia-free cellularity and few multinucleated giant cells were reported and Enneking 2 qualified. Treatment was initiated with resection of the tumor, cryotherapy, and placement of tricortical graft in the bone defect. He exhibited good post-surgical evolution. At three years of the surgical procedure, he\'s without tumor and asymptomatic. Although osteoblastoma does not usually occur in cuboid, it should be taken into account as a differential diagnosis.
    CONCLUSIONS: Bone tumors, despite having common locations, can occur in rare areas and therefore the complete radiographic and histopathological clinical study in each patient is critical.
    UNASSIGNED: El osteoblastoma es un tumor osteoblástico benigno, agresivo y poco frecuente. Su localización más frecuente es en elementos posteriores de la columna vertebral y el sacro. La presentación en cuboides es excepcional.
    UNASSIGNED: Masculino de 50 años que inició padecimiento en 2005, con dolor y aumento de volumen en región dorsolateral del mediopié. En las radiografías se observa injerto óseo y una lesión en cuboides, radiotransparente, heterogénea, multilobulada, con bordes irregulares que sobrepasa la cortical lateral. Se realizó angiotomografía donde se observó la lesión hipervascularizada; en la gammagrafía se observó captación del tecnecio 99 y en la resonancia magnética se reporta una lesión con cambios postquirúrgicos, quística, multilobulada. Se tomó biopsia transquirúrgica con abundante tejido fibroconectivo, osteoblastos, nidos de tejido osteoide e hipervascularidad del estroma, aumento de celularidad sin atipias y escasas células gigantes multinucleadas. Se clasificó Enneking 2. Se inició tratamiento con resección y curetaje del tumor, crioterapia y colocación de injerto tricortical en el defecto óseo. Mostró buena evolución postquirúrgica. A los tres años del procedimiento quirúrgico se encuentra sin datos de actividad tumoral y asintomático. A pesar de que el osteoblastoma no se presenta de forma habitual en cuboides, debe tomarse en cuenta como diagnóstico diferencial.
    UNASSIGNED: Los tumores óseos, a pesar de tener localizaciones habituales, pueden presentarse en zonas poco frecuentes y por lo tanto, el estudio completo clínico radiográfico e histopatológico en cada paciente es fundamental.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Comparative Study
    UNASSIGNED: The purpose of this study was to evaluate clinical and radiological outcomes at skeletal maturity after a calcaneo-cuboid-cuneiform osteotomy (triple C osteotomy) for symptomatic flatfoot deformity compared with healthy young adult controls.
    UNASSIGNED: Nineteen patients (30 feet) who undergone a triple C osteotomy for idiopathic symptomatic flatfeet from July 2006 to April 2013 were compared with 19 controls (38 feet). Radiographic measurements at preoperative examination, 1-year postoperative follow-up, and follow-up at skeletal maturity were evaluated. Functional outcomes were assessed by using the validated visual analog scale foot and ankle (VAS-FA) and the modified American Orthopaedic Foot and Ankle Surgery (AOFAS) score.
    UNASSIGNED: In the triple C osteotomy group, 11 of 12 radiographic measurements were significantly improved at 1 year postoperatively and the last follow-up (p < 0.001). There was no recurrence at skeletal maturity (p > 0.05). There were no significant differences in nine of 12 radiographic measurements between the triple C osteotomy group at maturity and the control group (p > 0.05). Average VAS-FA and AOFAS scores were significantly improved at the time of skeletal maturity (p < 0.001).
    UNASSIGNED: Surgical correction of symptomatic flatfoot deformity in childhood resulted in favorable outcomes after the triple C osteotomy. Deformity correction was also maintained during follow-up at skeletal maturity.
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  • 文章类型: Journal Article
    Though CH3NH3PbBr3 single crystals are frequently applied in various optoelectronic devices due to their favorable cuboid geometry, superior optoelectronic properties, and better stability than CH3NH3PbI3, CH3NH3PbBr3 polycrystalline films normally show poorer morphology with scattered crystals than their iodide counterparts, inherently due to their different crystallization habits. In this work, a facile process based on a hot methylamine-based precursor with high viscosity and concentration is demonstrated to counteract rapid ion diffusion. The precursor also has special features including a large colloidal size, a solid form at room temperature, and fast crystallization offered by the easy evacuation of methylamine. CH3NH3PbBr3 films composed of tightly aligned CH3NH3PbBr3 cuboids on micron scale are obtained. Wide channel (100 μm) photodetectors made from the CH3NH3PbBr3 films show promising photoresponse and fast response speeds on par with those based on single crystals, suggesting high film quality and good optoelectronic connections between neighboring cuboids.
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  • 文章类型: Case Reports
    Stress fractures of the proximal fifth metatarsal are common injuries in elite athletes. Fixation using an intramedullary screw represents the most popular surgery performed for treating these injuries, with excellent results in most cases. However, multiple reports in the literature highlight the possibility of painful hardware, usually related to the presence of the screw head, following intramedullary fixation In this case report, we outline 4 cases of professional athletes who developed lateral-based foot symptoms following complete healing of their surgically treated proximal fifth metatarsal fractures and were found to have significant cuboid edema on magnetic resonance images. We also outline recommendations regarding specific surgical technique considerations aiming to minimize this possible complication. Level of Evidence: Level V: Case report.
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