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[跖痛症的问题病例]

[Problem cases of metatarsalgia].

作者信息

Kunze B, Wülker N

机构信息

Orthopädische Klinik, Universitätsklinikum Tübingen, Deutschland.

出版信息

Orthopade. 2011 May;40(5):399-402, 404-6. doi: 10.1007/s00132-010-1722-1.

Abstract

Metatarsalgia is characterized by pain under the metatarsal heads and is a very common cause of foot pain among adults. Symptoms can be isolated or in combination with accompanying deformities occurring in the forefoot and/or hindfoot. In the foreground of the treatment is the exhaustion of conservative forms of therapy to minimize the symptoms of local pressure increase and callus under the metatarsal heads. In addition, various surgical methods are available, such as corrective osteotomy of the metatarsal bone, soft tissue interventions and the correction of associated deformities. The indications for surgical intervention should be made with caution in order to avoid failures and complaints persisting after surgery. The most common problems are an inadequate indication for surgery, technical problems and insufficient postoperative treatment.

摘要

跖痛症的特征是跖骨头下方疼痛,是成年人足部疼痛的常见原因。症状可能单独出现,也可能与前足和/或后足出现的伴随畸形同时存在。治疗的重点是用尽保守治疗方法,以尽量减轻跖骨头下方局部压力增加和胼胝的症状。此外,还有各种手术方法,如跖骨矫正截骨术、软组织干预以及相关畸形的矫正。手术干预的指征应谨慎确定,以避免术后出现失败和持续的问题。最常见的问题是手术指征不充分、技术问题和术后治疗不足。

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