Swaroop Vineeta T, Dias Luciano
Department of Orthopaedic Surgery, Children's Memorial Hospital, Northwestern University Feinberg School of Medicine, 345 E Superior, #1136, Chicago, IL 60611 USA.
J Child Orthop. 2011 Dec;5(6):403-14. doi: 10.1007/s11832-011-0368-9. Epub 2011 Sep 20.
Both congenital and acquired orthopaedic deformities are common in patients with spina bifida. Examples of congenital deformities, which are present at birth, include clubfoot and vertical talus. Acquired developmental deformities are related to the level of neurologic involvement and include calcaneus and cavovarus. Orthopaedic deformities may also result from postoperative tethered cord syndrome. The previously published Part I reviewed the overall orthopaedic care of a patient with spina bifida, with a focused review of hip, knee, and rotational deformities. This paper will cover foot and ankle deformities associated with spina bifida, including clubfoot, equinus, vertical talus, calcaneus and calcaneovalgus, ankle and hindfoot valgus, and cavovarus. In addition, this paper will address the issues surrounding skin breakdown in patients with spina bifida.
先天性和后天性骨科畸形在脊柱裂患者中都很常见。出生时就存在的先天性畸形例子包括马蹄内翻足和垂直距骨。后天性发育畸形与神经受累程度有关，包括跟骨畸形和高弓内翻足。骨科畸形也可能由术后脊髓拴系综合征引起。之前发表的第一部分回顾了脊柱裂患者的整体骨科护理，重点回顾了髋、膝和旋转畸形。本文将涵盖与脊柱裂相关的足踝畸形，包括马蹄内翻足、马蹄足、垂直距骨、跟骨畸形和跟骨外翻、踝和后足外翻以及高弓内翻足。此外，本文还将探讨脊柱裂患者皮肤破损的相关问题。
