Harris E J
Department of Orthopaedics and Rehabilitation, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA.
Clin Podiatr Med Surg. 2000 Jul;17(3):419-42.
The advantage for maintaining oblique talus deformity as a diagnostic entity is obvious. It describes a deformity that is somewhere between the severe form of flexible pes planus and congenital convex pes valgus. It is important to recognize that the two subsets (oblique talus deformity with maintenance of the calcaneal inclination angle and oblique talus deformity with reversal of the calcaneal inclination) differ from congenital convex pes valgus by the absence of dislocation of the talonavicular joint. In many cases, the talonavicular joint is merely pushed to its maximum range, and does not even meet the definition of subluxation. Maintaining these distinctions prevents overdiagnosis of congenital convex pes valgus. Additionally, better evaluation of treatment for congenital convex pes valgus results because those cases with better prognosis and better response to nonsurgical intervention are not included in the data for the management of congenital convex pes valgus.
将斜距骨畸形作为一种诊断实体保留下来的优势显而易见。它描述的是一种介于重度柔性扁平足和先天性凸性平足之间的畸形。必须认识到，这两个亚组（跟骨倾斜角保持的斜距骨畸形和跟骨倾斜角反转的斜距骨畸形）与先天性凸性平足的不同之处在于距舟关节无脱位。在许多情况下，距舟关节只是被推到其最大活动范围，甚至未达到半脱位的定义。保留这些区别可防止先天性凸性平足的过度诊断。此外，对先天性凸性平足治疗的评估会更好，因为那些预后较好且对非手术干预反应较好的病例不包括在先天性凸性平足治疗的数据中。
