Kean John R
Department of Orthopaedics, Ohio State University, Columbus Children's Hospital, 3rd Floor, Education Building, 700 Children's Drive, Columbus, OH 43205, USA.
Adolesc Med State Art Rev. 2007 May;18(1):182-91, xi.
The treatment of foot problems in the adolescent should be nonsurgical whenever possible. Surgical treatment should be considered when medical treatment does not relieve pain. Surgical corrections to prevent problems in adulthood may cause complications and lead to an undesirable outcome. This article highlights treatment for overriding fifth toe, juvenile bunion, Morton toe, Freiberg infraction, stress fractures of metatarsals, accessory navicular, tarsal coalition, plantar fascitis, pes cavus, and pes planus. Significant deformities generally require treatment before ambulation, and innocent deformities usually resolve spontaneously.
青少年足部问题的治疗应尽可能采用非手术方法。当药物治疗无法缓解疼痛时，应考虑手术治疗。为预防成年后患问题而进行的手术矫正可能会引发并发症并导致不理想的结果。本文重点介绍了对叠趾、青少年拇囊炎、莫顿趾、弗赖贝格骨折、跖骨应力性骨折、副舟骨、跗骨联合、足底筋膜炎、高弓足和平足的治疗。严重畸形通常需要在开始行走前进行治疗，而单纯性畸形通常会自行缓解。
