162例(302足)外翻患者趾跖籽关节炎X线分析

The X-ray Analysis of Metatarsal Seed Arthritis of 162 Patients (302 feet) with Hallux Valgus

目的:观察外翻患者跖籽关节炎的存在以及跖籽关节炎X线表现特点。方法:通过观察162例(302足)外翻患者跖籽关节X线以及临床表现,由3位副高以上职称的骨科医生独立观察分析,根据制定的跖籽关节炎诊断标准,确定外翻患者跖籽关节炎的存在与否以及表现特点,最后进行汇总。结果:162例外翻患者302足的跖籽关节X线中广泛存在着骨关节炎的放射学表现,其中关节变形及半脱位268足,非对称性关节间隙狭窄254足,软骨下骨硬化231足,囊性变129足,关节边缘骨质增生和骨赘形成199足,关节内游离体0足。按照Kellgren & Lawrence分级:0级20足,Ⅰ级52足,Ⅱ级53足,Ⅲ级137足,Ⅳ级40足;符合跖籽关节炎诊断标准的为256足。结论:外翻畸形可产生跖籽关节炎。

Objective：To observe the existence of metatarsal seed arthritis and the X-ray features of metatarsal seed arthritis of patients with hallux valgus.Methods：3 orthopedists above vice-senior title observe and analyze X-rays and clinical manifestations of metatarsal seed joint of 162 patients（302 feet） with hallux valgus independently to ascertain the presence or absence of metatarsal seed arthritis and to clarify the features of manifestation of the metatarsal seed arthritis in patients of hallux valgus.There views were summarized finally.Results：Radiologic manifestations of osteoarthritis widely were existed in X-ray of metatarsal seed joint in 302 feet of 162 patients with hallux valgus.There are 268 feet with dysarthrosis or subluxation,and 254 feet with asymmetric stenosis in joint gap,231 feet with subchondral bone sclerosis,129 feet with cystic degeneration,199 feet with hyperosteogeny and formed osteophyte,0 foot with loose body.There are 20 feet of grade 0,52 feet of gradeⅠ,53 feet of gradeⅡ,137 feet of gradeⅢ,40 feet of grade Ⅳ,according to the classification of Kellgren and Lawrence;and there are 256 feet according with the diagnostic criteria of metatarsal seed arthritis.Conclusion：Deformity of hallux valgus can result in metatarsal seed arthritis.