Feng Xiao-Jun, Jiang Yan, Wu Jian-Xian, Zhou Yun
Department of Rehabilitation Medicine, The Second Hospital of Anhui Medical University and Anhui Medical University, Hefei 230000, Anhui Province, China.
World J Clin Cases. 2020 Jan 26;8(2):444-450. doi: 10.12998/wjcc.v8.i2.444.
In clinical practice, checkrein deformity is usually found in patients with calf injuries after ankle fracture or distal tibial fracture. The patients with checkrein deformity mainly report distending pain in toe tips, pain when walking or wearing shoes, and gait instability. Previous studies have mainly reported surgical treatments for checkrein deformity, while few studies have reported using comprehensive rehabilitation alone to improve the checkrein deformity.
A 28-year-old woman was admitted to the hospital due to unstable gait caused by pain in the right hallux, for which she was unable to stretch for over three months. The patient had undergone "resection of ameloblastoma at the right mandible, mandibulectomy, and autogenous right fibula grafting". The patient's hallux toe, as well as the second and third toes of the right foot could not be stretched, with pain in all the toes during walking. Based on the medical records of the patient, as well as the results of physical and auxiliary examinations, the main diagnosis was checkrein deformity in the right foot. Since the patient refused surgical treatment, rehabilitation was the only treatment option. At discharge, the patient reported evident improvement in the pain in the toes, gait stability, as well as increased ability to climb up and downstairs.
Comprehensive rehabilitation therapy could effectively alleviate the manifestations of checkrein deformity and improve the walking ability of the patients.
在临床实践中，马蹄足畸形通常见于踝关节骨折或胫骨干远端骨折后小腿受伤的患者。马蹄足畸形患者主要诉说足尖胀痛、行走或穿鞋时疼痛以及步态不稳。既往研究主要报道马蹄足畸形的手术治疗，而很少有研究报道单纯使用综合康复治疗来改善马蹄足畸形。
一名28岁女性因右拇趾疼痛导致步态不稳入院，其右拇趾无法伸直超过3个月。该患者曾接受“右下颌骨成釉细胞瘤切除术、下颌骨切除术及自体右腓骨移植术”。患者右拇趾以及右足第二、三趾均无法伸直，行走时所有趾均疼痛。根据患者病历以及体格检查和辅助检查结果，主要诊断为右足马蹄足畸形。由于患者拒绝手术治疗，康复治疗成为唯一的治疗选择。出院时，患者报告趾部疼痛、步态稳定性明显改善，上下楼梯能力增强。
综合康复治疗可有效减轻马蹄足畸形的表现，提高患者的行走能力。
