Leventen E O
Department of Orthopaedics, Kaiser Permanente Hospital, Panorama City, CA 91402.
Clin Orthop Relat Res. 1991 Aug(269):236-40.
The anatomy, function, and disorders of the hallucal sesamoids show that the diagnosis and current concept of management are based on the individual patient's problems. The treatment should always be initiated in a conservative fashion, generally using a molded insole with an appropriate excavation to shift weight from a painful sesamoid. The advantages and disadvantages of sesamoidectomy are influenced by surgical technique. Care in handling the medial and lateral hallucal nerves is essential. Removal of both the medial and lateral sesamoids invariably leads to an intractable clawtoe deformity and is absolutely contraindicated.
拇趾籽骨的解剖结构、功能及相关病症表明，诊断和当前的治疗理念是基于个体患者的问题。治疗应始终以保守方式开始，通常使用带有适当凹陷的模制鞋垫，以减轻疼痛籽骨的负重。籽骨切除术的优缺点受手术技术影响。小心处理拇趾内侧和外侧神经至关重要。切除内侧和外侧籽骨均会导致难以治疗的爪形趾畸形，绝对禁忌。
