Maskill John D, Bohay Donald R, Anderson John G
Grand Rapids Medical Education and Research Center/Michigan State University, Orthopaedic Surgery Residency Program, 300 Lafayette, Grand Rapids, MI 49503, USA.
Foot Ankle Clin. 2006 Mar;11(1):143-63, ix-x. doi: 10.1016/j.fcl.2005.12.002.
The first ray differs from the other rays in its position and its importance with weight bearing. Because it is a critical structure in the formation of the tripod of the foot, injuries to this ray can cause critical alterations in the biomechanics of the foot. This allows for pathologic weight-bearing points of contact and deformity that lead to a disabling gait. Physicians who are involved in the care of the foot and ankle should be familiar with the spectrum of injuries that concern the first ray. These injuries, their management, and sequelae are reviewed.
第一跖骨在其位置以及负重时的重要性方面与其他跖骨不同。由于它是足部三脚架结构形成中的关键结构，该跖骨的损伤会导致足部生物力学的严重改变。这会形成病理性负重接触点和畸形，进而导致致残性步态。参与足踝护理的医生应熟悉与第一跖骨相关的一系列损伤。本文对这些损伤、其处理方法及后遗症进行了综述。
