对于痛性足副舟骨患者,首先应采取保守治疗,即在减少足内侧的压力的基础上结合抗炎治疗和物理治疗。保守治疗效果不满意的患者,往往需要手术治疗,包括Kidner手术及改良Kidner手术、单纯切除术及改良单纯切除术、内固定融合术以及关节镜下融合术等,可获得确实疗效。 参考文献1. 张存, 俞光荣. 痛性足副舟骨诊断和治疗进展[J]. 国际骨科学杂志, 2011, (6):360-363.2. 陈仕宇, 臧国礼, 许伟莹等. II型痛性足副舟骨影像学诊断价值[J]. 温州医科大学学报, 2019, 第49卷(5):356-359,366.3. 李惠贞, 肖亚杰, 刘振玉等. 足部疼痛患者足副舟骨的发生率及其解剖变异类型的 X 线片表现[J]. 中国骨与关节杂志, 2019, 第8卷(1):56-60.4. 陈仕宇,臧国礼,胡闽.高频超声在足副舟骨诊断及分型中的临床应用.医学影像学杂志,2019,29(5):848-851.5. Issever Ahi Sema,Minden Kirsten,Eshed Iris et al. Accessory navicular bone: when ankle pain does not originate from the ankle.[J] .Clin. Rheumatol., 2007, 26: 2143-2144.6. Jegal Hyuk,Park Young Uk,Kim Jin Su et al. Accessory Navicular Syndrome in Athlete vs General Population.[J] .Foot Ankle Int, 2016, 37: 862-7.7. Kalbouneh Heba,Alajoulin Omar,Alsalem Mohammad et al. Incidence and anatomical variations of accessory navicular bone in patients with foot pain: A retrospective radiographic analysis.[J] .Clin Anat, 2017, 30: 436-444.8. Lui Tun Hing,Endoscopic Fusion of the Accessory Navicular Synchondrosis That Has No Diastasis.[J] .Arthrosc Tech, 2017, 6: e263-e267.9. Jang Ho-Seong,Park Kwang-Hee,Park Hyun-Woo,Comparison of outcomes of osteosynthesis in type II accessory navicular by variable fixation methods.[J] .Foot Ankle Surg, 2017, 23: 243-249.10. 黄野, 及松杰, 杜辉等. 副舟骨舟骨融合术治疗Ⅱ型副舟骨疼痛16例报告[J]. 中国骨与关节杂志, 2014, (6):466-469.11. 温纪林,魏芳远,张建中.经皮钻孔术治疗疼痛性副舟骨一例.足踝外科电子杂志,2015,2(3):41-43.12. PauGolano,OscarFarinas.The anatomy of the navicular and periarticular structures.foot Ankle Clinics.2004,9:1–23.13. M.Guelfi,A.Pantalone,R.M.Mirapeix,.Anatomy,pathophysiology and classification of posterior tibial tendon dysfunction,Medical and Pharmacological Sciences.2017;21:13-19. 作者介绍: