Seidenstein Alexandra H, Torrez Timothy W, Andrews Nicholas A, Patch David A, Conklin Michael J, Shah Ashish
The University of Alabama at Birmingham - Orthopaedic Surgery, Birmingham, Alabama, USA.
Paediatr Child Health. 2021 Nov 1;27(2):75-81. doi: 10.1093/pch/pxab074. eCollection 2022 May.
Pediatric hallux valgus (PHV), while relatively rare, is still often encountered by general pediatricians. Herein, we concisely summarize the existing literature regarding the pathogenesis, associated conditions, clinical diagnosis, radiographic characteristics, conservative management, and surgical management of PVH. Though PHV is generally considered benign, the progression of hallux valgus can result in complications. The presence of an open physis in the pediatric age group delineates first line treatment choices, whenever possible, as nonoperative. The general exception to this recommendation is for children with neuromuscular and connective tissues disease who may benefit from earlier surgical management. If conservative approaches fail prior to skeletal maturity, the risk of recurrence and need for revision surgery should be discussed with patients and their families before surgical referral is made. The current review was conducted to aid primary care providers in better understanding the pathogenesis, associated conditions, and intervention options available to manage PHV.
小儿拇外翻（PHV）虽然相对少见，但普通儿科医生仍经常遇到。在此，我们简要总结了关于小儿拇外翻的发病机制、相关病症、临床诊断、影像学特征、保守治疗及手术治疗的现有文献。尽管小儿拇外翻通常被认为是良性的，但拇外翻的进展可能导致并发症。小儿年龄组存在开放骨骺，这在可能的情况下划定了一线治疗选择为非手术治疗。该建议的一般例外情况是患有神经肌肉和结缔组织疾病的儿童，他们可能从早期手术治疗中获益。如果在骨骼成熟前保守治疗方法失败，在进行手术转诊前，应与患者及其家属讨论复发风险和翻修手术的必要性。进行本次综述是为了帮助初级保健提供者更好地理解小儿拇外翻的发病机制、相关病症以及可用于治疗小儿拇外翻的干预选项。
