Zusammenfassung
Die Ursachen des posttraumatischen Sprunggelenkschmerzes sind vielfältig. Sie reichen von einer reinen Bandruptur über Sehnenverletzungen und Frakturen zu Gelenkbeteiligungen mit degenerativen Folgen. Die Coalitio calcaneonavicularis, eine Brückenbildung zwischen dem Os naviculare und dem Processus anterior calcanei, stellt ein seltenes Krankheitsbild mit einer Inzidenz <1% dar. Diese Brückenbildung zeigt eine sehr variable Morphologie mit rein fibröser oder kartilaginärer bis hin zur komplett ossären Ausprägung. Betroffene Patienten zeigen meist Symptome im jugendlichen Alter, häufig nach Distorsionstraumen des Sprunggelenks. Aufgrund der Seltenheit möchten wir 2 Fallbeschreibungen einer Fraktur einer Coalitio calcaneonavicularis als ungewöhnliche Ursache des posttraumatischen Sprunggelenkschmerzes vorstellen und die Aspekte der zugrunde liegenden Erkrankung anhand der Literatur als Übersicht vorstellen.
Abstract
The causes of chronic posttraumatic ankle pain are manifold, ranging from ligament and tendon injuries and fractures to joint degeneration. Calcaneonavicular coalition, a bridge between the calcaneus and navicular bones, is a rare disease with an incidence below 1%. The morphology of this coalition is variable. It can occur as either a fibrous, cartilaginous or bony union of the involved bones. Symptoms usually occur in adolescence with chronic pain around the ankle, mainly lateral and anterior, following distortion trauma. Patients often claim to have a lateral ankle sprain. We report 2 cases of a fracture of the calcaneonavicular coalition as the cause of chronic posttraumatic ankle pain and demonstrate the characteristics of tarsal coalitions with a review of the literature.
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Ochman, S., Vordemvenne, T., Rosenbaum, D. et al. Fraktur einer Coalitio calcaneonavicularis. Unfallchirurg 111, 944–950 (2008). https://doi.org/10.1007/s00113-008-1437-5
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DOI: https://doi.org/10.1007/s00113-008-1437-5