Guzzanti V, Di Lazzaro A, Toniolo R M
Divisione di Ortopedia e Traumatologia, Ospedale Pediatrico Bambino Gesù, Istituto di Ricerca Scientifica, Sede di Roma.
Arch Putti Chir Organi Mov. 1990;38(1):69-88.
Based on their observation of approximately 1000 patients aged from 4 to 14 years and on a comparison of their experience with the data reported in the literature, the authors discuss the problem of modifications in torsion of the lower limbs during pediatric age. After a brief discussion of anatomy and the natural progression of the angle of femoral anteversion and tibial torsion, they stop to accurately describe the most frequently occurring defects in torsion, both isolated and combined. After affirming the contribution that axial vision has made to an understanding of the subject, they emphasise the current usefulness of the method in cases in which a clinical examination allows for doubts to persist and, in particular, if qualitative and quantitative diagnosis is required in relation to the therapeutic protocol. The authors conclude by suggesting that therapy be carried out during the growth age (much before 14 years of age) while they suggest waiting until skeletal maturity in order to make a general evaluation and to decide on treatment of combined defects.
基于对约1000名4至14岁患者的观察，并将他们的经验与文献报道的数据进行比较，作者探讨了儿童期下肢扭转的改变问题。在简要讨论了解剖结构以及股骨前倾角度和胫骨扭转的自然发展过程后，他们停下来准确描述了扭转中最常见的缺陷，包括孤立的和合并的缺陷。在肯定了轴向视力对理解该主题所做的贡献之后，他们强调了该方法在临床检查仍存在疑问的情况下，特别是在需要根据治疗方案进行定性和定量诊断的情况下的当前实用性。作者最后建议在生长年龄（远在14岁之前）进行治疗，同时建议等到骨骼成熟后再进行全面评估并决定对合并缺陷的治疗。
