Prasitdumrong Ittipol, Rungprai Chamnanni, Reeboonlarb Nitit, Poonpracha Tara, Phisitkul Phinit
Department of Orthopaedic Surgery, Phramongkutklao Hospital and College of Medicine , Bangkok , Thailand.
Iowa Orthop J. 2013;33:54-7.
To determine the degree and location of degenerative changes of the medial collateral ligament of the first metatarsophalangeal joint, using the lateral collateral ligament as a control, in patients undergoing hallux valgus correction.
A strip of medial and lateral collateral ligaments were biopsied from 12 consecutive patients (age 45 ± 4.8 years) with symptomatic hallux valgus. A blinded analysis of histopathology was performed by an experienced pathologist.
The medial collateral ligament was significantly more degenerated compared to the lateral collateral ligament (x(2) = 23.41, DF = 2, p < 0.0001). There was no significant difference in degeneration between different parts of each ligament.
Our study found generalized severe degeneration in the medial collateral ligament without proximal-distal predilection. This information may have implications in the management of medial soft tissue repair in hallux valgus correction. The Authors received no financial support for this study.
在接受拇外翻矫正的患者中，以外侧副韧带作为对照，确定第一跖趾关节内侧副韧带退变改变的程度和位置。
从12例连续的有症状拇外翻患者（年龄45±4.8岁）中获取内侧和外侧副韧带条进行活检。由一位经验丰富的病理学家对组织病理学进行盲法分析。
与外侧副韧带相比，内侧副韧带退变明显更严重（χ² = 23.41，自由度 = 2，p < 0.0001）。每条韧带不同部位之间的退变无显著差异。
我们的研究发现内侧副韧带普遍严重退变，无近端 - 远端偏好。该信息可能对拇外翻矫正中内侧软组织修复的管理有影响。作者未获得本研究的资金支持。
