Ayak bileğinin ball-and-socket deformitesi: Olgu sunumu
Ayak bileğinin ball-and-socket (BAS) deformitesi, fibüler hipoplazi, metatarsların yokluğu veya füzyonu, tarsal kemiklerin koalisyonu, alt ekstremite kısalığı gibi durumların eşlik ettiği nadir bir deformitedir. Dokuz yaşındaki bir kız çocuğunda sağ alt ekstremitede kısalık, sağ ayakta kavovarus deformitesi, dördüncü ve beşinci metatarsların kaidesinde ve talokalkaneonaviküler eklemde füzyon ile birlikte sağ ayak bileğinde BAS deformitesi saptandı. Hastaya, sağ alt ekstremitesindeki kısalık için 2.5 cm topuk tahsisli ortopedik ayakkabı giymesi önerildi.
A case of ball-and-socket deformity of the ankle joint
Ball-and-socket deformity of the ankle joint is a rare entity that is usually associated with inequality of leg length, fibular hypoplasia, coalition of the tarsal bones, and ray deficiency. This deformity was encountered in a nineyear- old girl with a short right limb, cavovarus foot, partial fusion of the 4th and 5th metatarsals, and talocalcaneonavicular coalition. No surgical intervention was necessary; the patient was recommended to wear a highheeled shoe of 2.5 cm thickness to compensate for the difference in the leg length.
___
- 1. Tachdjian MO. Congenital ball-and-socket ankle joint. In: Paediatric orthopedics. Vol. 4, 2nd ed. Philadelphia: W. B. Saunders; 1990. p. 2631-3.
- 2. Lamb D. The ball and socket ankle joint: a congenital abnormality. J Bone Joint Surg [Br] 1958;40:240-3.
- 3. Pappas AM, Miller JT. Congenital ball-and-socket ankle joints and related lower-extremity malformations. J Bone Joint Surg [Am] 1982;64:672-9.
- 4. Channon GM, Brotherton BJ. The ball and socket ankle joint. J Bone Joint Surg [Br] 1979;61:85-9.
- 5. Lloyd-Roberts GC, Clark RC. Ball and socket ankle joint in metatarsus adductus varus. (S-shaped or serpentine foot). J Bone Joint Surg [Br] 1973;55:193-6.
- 6 .Bettin D, Karbowski A, Schwering L. Congenital ball-and- socket anomaly of the ankle. J Pediatr Orthop 1996;16:492-6.
- 7. Görgeç M, Kuzgun Ü, Türkmen İM. Ayakbileği ball-and-socket deformitesi. Acta Orthop Traumatol Turc 1988;22: 34-7.
- 8. Harris EJ. Short limb and the ball-and-socket ankle deformity. J Am Podiatr Med Assoc 1989;79:595-604.
- 9. Takakura Y, Tamai S, Masuhara K. Genesis of the ball-and-socket ankle. J Bone Joint Surg [Br] 1986;68:834-7.
- 10. Hiroshima K, Kurata Y, Nakamura M, Ono K. Ball-and-socket ankle joint: anatomical and kinematic analysis of the hindfoot. J Pediatr Orthop 1984;4:564-8.
- 11. Takakura Y, Tanaka Y, Kumai T, Sugimoto K. Development of the ball-and-socket ankle as assessed by radiography and arthrography. A long-term follow-up report. J Bone Joint Surg [Br] 1999;81:1001-4.
- 12. Wroble RR. Congenital ball-and-socket ankle joints and related lower extremity malformations [Letter]. J Bone Joint Surg [Am] 1983;65:421-2.