경골 내과에 발생한 견인 골단염(2예 보고)
Traction Apophysitis of Medial Malleolus (Two Cases Report)
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9 and 10 years old boys presented with pain and swelling without history of trauma around medial malleolar right and left ankle. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The X-rays revealed fragmented accessory ossification center of medial malleolus an symptomatic side. Traction apophysitis was diagnosed because MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of symptomatic medial malleolus apophysis. Patient was treated in conservative treatment by short leg cast for three or four weeks with restriction of sports activity and improved symptoms.
Abstract
9 and 10 years old boys presented with pain and swelling without history of trauma around medial malleolar right and left ankle. The swelling was diffuse with tenderness on anterior aspect of medial malleolus. The X-rays revealed fragmented accessory ossification center of medial malleolus an symptomatic side. Traction apophysitis was diagnosed because MRI revealed multiple foci of hypointensity in T1 and T2 weighted images of symptomatic medial malleolus apophysis. Patient was treated in conservative treatment by short leg cast for three or four weeks with restriction of sports activity and improved symptoms.
참고문헌 (7)
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- Powell HD, "Extra center of ossification for the medial malleolus in children: Incidence and significance", J Bone Joint Surg Br, 43, pp.107~113 (1961)
- Ogden JA, "Accessory ossification patterns and injuries of the malleoli", J Pediatr Orthop, 10, pp.306~316 (1990)
- Rajiv G, "Traction apophysitis of medial malleolus: a case report with review of the literature", Indian J Orthop, 42, pp.91~93 (2008)