第1跖骨籽骨脱位与⻊母外翻的相关性
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035±002,039±003(P>005),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 Zhaohui,ZHANG Yingze,HAN Changling,et alDepartment 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 examinedOn 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 respectivelyThe relation among HVA,IMA and AB were statistically analysed[Result]AB/CD were (035±002),(039±003)in normal fee and hallux valgus feet,respectively(P>005)There was not remarkable relativity between HVAIMA 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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