Kilmartin T E, Barrington R L, Wallace W A
Kettering Health Authority, Northants, England.
J Bone Joint Surg Br. 1991 Nov;73(6):937-40. doi: 10.1302/0301-620X.73B6.1955440.
A survey of 6000 schoolchildren discovered 36 cases of unilateral and 60 cases of bilateral hallux valgus, defined as a metatarsophalangeal angle of more than 14.5 degrees, measured on standing radiographs. Metatarsus primus varus was found not only in the early stages of hallux valgus but in the unaffected feet of children with unilateral hallux valgus. Adduction of the first metatarsal is not due to differential growth of the cortices of the first metatarsal nor is it a consequence of malalignment of the metatarsocuneiform joint. The intermetatarsal angle did not correlate with the angle of metatarsus adductus nor with the intercuneiform angle.
一项针对6000名学童的调查发现了36例单侧拇外翻和60例双侧拇外翻病例,拇外翻定义为站立位X线片上测量的跖趾关节角超过14.5度。不仅在拇外翻的早期阶段发现了第一跖骨内翻,在单侧拇外翻儿童的未受影响的足部也发现了第一跖骨内翻。第一跖骨内收并非由于第一跖骨皮质的差异生长,也不是跖楔关节排列不齐的结果。跖间角与第一跖骨内收角或楔骨间角均无相关性。