Ayağın Ağrılı Kemik ve Kemikcikleri

Öz

Travmatik kırık-kontüzyon ve avasküler nekroz (AVN) ayak ağrısının en önemli nedenleri arasındadır. Ayak kemiklerinde AVN sık rastlanmakla birlikte, aksesuar kemiklerde görülmesi durumunda klinik ve radyolojik olarak tanısal güçlüklere yol açabilmekte ve yanlış olarak kırık tanısı alabilmektedir. Aksesuar kemiklerin lokalizasyonlarının bilinmesi ayırıcı tanıda oldukça önemlidir. Bu makalede ayak kemik ve aksesuar kemikçiklerinde avasküler nekroz ve travmaya ikincil kırık-kontüzyon olguları ile sık rastlanan ağrılı kemik sendromlarının manyetik rezonans görüntüleme (MRG) bulguları sunulmakta ve oluşturdukları tanısal güçlükler tartışılmaktadır.

Anahtar Kelimeler

• Avasküler nekroz
• kontüzyon
• kırık
• ayak kemikleri
• aksesuar kemikler

Painful Bones and Accessory Bones of The Foot

Öz

Traumatic contusion-fractures and avascular necrosis are the most important reasons of foot pain. Although avascular necrosis of the foot bones is a common occurrence, in case of involvement of the accessory bones, the clinical and radiological diagnosis is difficult and may simulate fractures. Thus, it is important to know the locations of the accessory bones for differential diagnosis. This study has presented and discussed the magnetic resonance imaging findings and diagnostic difficulties of avascular necrosis and contusion-fractures secondary to trauma of the foot bones, sesamoid bones, and accessory bones.

Anahtar Kelimeler

• Avascular necrosis
• kontusions
• fractures
• foot bones
• accessory bones

Kaynakça

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