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患者男,32岁,于1997年11月以左足疼痛2月余入院诊治。患者于入院2个多月前因踢球扭伤左踝,曾来我院门诊摄片发现,左跟骨有一X线透光区,诊断为左跟骨骨囊肿?患者回家2天后左踝关节疼痛消失,随之下地行走,但此后偶感行走时左足跟部有刺痛,于是入院诊治。入院查左踝关节活动正常,左足外形正常,皮温不高,无血管怒张,无明显压痛。各项实验室检查正常,X线摄片示:左跟骨内前外侧有一约5cm×4cm大小的囊样X线透光区,形态不规则,周围有完整的骨硬化边界。病变区外侧骨皮质菲薄。跟骨形态正常,病变未累及跟骨周围关节面。初步诊断为:左跟骨骨囊肿?行跟骨病灶刮除
The patient was a 32-year-old man. He was admitted to the hospital with pain in his left foot for more than two months in November 1997. The patient had a sprained sprain on the left side more than two months before admission. He had come to our hospital for an observation and found that the left calcaneum had an X-ray translucent area and was diagnosed as a left calcaneal bone cyst. The patient left the ankle after 2 days of returning home. The pain disappeared and he walked with him. However, he felt tingling in the left heel after walking and he was admitted to the hospital. On admission, left ankle joint activity was normal, left foot was normal in appearance, skin temperature was not high, no vascular engorgement, and no obvious tenderness. All laboratory tests were normal. Radiographs showed that there was a cystic-like X-ray transmission area about 5 cm×4 cm in the left and right cubital bones. The shape was irregular and there was a complete bone-hardening border around. The lesion area outside the thin cortical bone. The calcaneal morphology was normal and the lesion did not affect the articular surface around the calcaneus. Initial diagnosis: left calcaneal bone cysts