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第1跖骨籽骨脱位与⻊母外翻的相关性
http://www.100md.com 《中国矫形外科杂志》 2006年第5期
脱位,,⻊母外翻;,籽骨;,脱位;,病因,1资料与方法,2结果,3讨论,参考文献:
     摘 要:[目的]探讨第1跖骨籽骨系统在⻊母外翻发生发展中的作用。[方法]选取正常足100只,⻊母外翻足82只,拍摄负重位足部X线片,测量⻊母外翻角(hallux valgus angle,HVA),第1、2跖骨间角(first intermetatarsal angle,IMA),籽骨到第2跖骨轴线的距离,第2跖骨的长度,分析籽骨脱位与⻊母外翻的相关性。[结果]正常足和⻊母外翻足籽骨与第2跖骨轴线的距离与第2跖骨长度的比值分别为035±002,039±003(P>005),正常足籽骨位置不同分级之间与HVA和IMA无明显相关性,在⻊母外翻足中籽骨脱位与HVA、IMA明显相关。[结论]第1跖骨籽骨系统在⻊母外翻的发生发展中起重要作用,在行⻊母外翻矫正术时应注意籽骨系统的矫正。

    关键词:⻊母外翻; 籽骨; 脱位; 病因

    Relativity of the fist metatarsal sesamoids system and hallux valgus∥SONG Zhaohui,ZHANG Yingze,HAN Changling,et alDepartment of Orthopedics,Third Hospital of Hebei Medical university,Shijiazhuang 050051

    Abstract:[Objective]To study the role of the fist metatarsal sesamoids system in the pathogensis of hallux valgus[Method]A hundred normal feet and 82 hallux valgus feet were examinedOn the load doral plantar view,the hallux valgus angle(HVA),the first intermetatarsal angle(IMV),length of the second metatarsal bone(CD)and the distance between sesamoid bone and the second metatarsal bone(AB)were measured respectivelyThe relation among HVA,IMA and AB were statistically analysed[Result]AB/CD were (035±002),(039±003)in normal fee and hallux valgus feet,respectively(P>005)There was not remarkable relativity between HVAIMA and AB/CD in normal feet,but there is remarkable relativity in hallux valgus feet[Conclusion]The fist metatarsal sesamoids system plays an important role in the pathogensis of hallux valgus ......

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