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先进负重成像在拇外翻评估中的应用

Use of Advanced Weightbearing Imaging in Evaluation of Hallux Valgus.

作者信息

de Cesar Netto Cesar, Richter Martinus

机构信息

Department of Orthopedics and Rehabilitation, University of Iowa, 200 Hawkins Drive, Room 01066 JPP, Lower Level, Iowa City, IA 52242, USA.

Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital, Rummelsberg, Rummelsberg 71, Schwarzenbruck 90592, Germany.

出版信息

Foot Ankle Clin. 2020 Mar;25(1):31-45. doi: 10.1016/j.fcl.2019.10.001. Epub 2019 Nov 19.

Abstract

Hallux valgus (HV) represents a progressive 3-dimensional deformity that includes bone malalignment, hypermobility of the first ray, and imbalanced soft-tissue structures of the midfoot and forefoot. Conventional radiographs provide sectorized and limited information of the deformity in different planes. The literature evidence supporting the use of cone beam weightbearing computed tomography in the assessment of HV has been growing. It demonstrates important advances that include the ability to reliably perform traditional measurements such as HV angle and intermetatarsal angle in the 3-dimensional setting.

摘要

拇外翻(HV)是一种进行性三维畸形,包括骨排列不齐、第一跖骨过度活动以及中足和前足软组织结构失衡。传统X线片提供了不同平面畸形的扇形且有限的信息。支持在拇外翻评估中使用锥形束负重计算机断层扫描的文献证据不断增加。它展示了重要进展,包括能够在三维环境中可靠地进行传统测量,如拇外翻角和跖间角。

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