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小趾跖关节不稳:跖板重建的进展

Lesser Metatarsophalangeal Joint Instability: Advancements in Plantar Plate Reconstruction.

作者信息

Hsu Raymond Y, Barg Alexej, Nickisch Florian

机构信息

Department of Orthopedics, The University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.

Department of Orthopedics, The University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.

出版信息

Foot Ankle Clin. 2018 Mar;23(1):127-143. doi: 10.1016/j.fcl.2017.09.009. Epub 2017 Nov 16.

DOI:10.1016/j.fcl.2017.09.009
PMID:29362028
Abstract

The plantar plate and associated collateral ligaments are the main stabilizers of each of the lesser metatarsophalangeal joints. Although clinical examination and plain radiographs are usually sufficient to establish the diagnosis of a plantar plate tear, MRI or fluoroscopic arthrograms may help in specific cases. Recent results with a dorsal approach to plantar plate repair are promising with respect to pain relief and patient satisfaction.

摘要

跖板及相关侧副韧带是各小趾跖趾关节的主要稳定结构。虽然临床检查和X线平片通常足以确诊跖板撕裂,但在某些特定情况下,磁共振成像(MRI)或荧光透视关节造影可能会有所帮助。近期采用背侧入路修复跖板的结果在缓解疼痛和患者满意度方面很有前景。

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