Fournet-Fayard J, Maisonnier M, Kohler R, Bonnin M, Michel C R
Service d'orthopédie infantile, hôpital Edouard-Herriot, Lyon, France.
Pediatrie. 1987;42(4):267-71.
The authors present 3 cases of brachymetapody (or "hereditary type E brachydactyly"). These conditions are defined by an abnormal shortness of some metacarpals and metatarsals, sometimes associated with other malformations and short stature. The feet may require a surgical correction with different alternatives, adapted to the type of malformations: lengthening of the short rays if they are the least numerous, shortening of one single "long" ray. Surgical indications depend upon pain, more than upon aesthetic considerations. In one of the reported cases, bilateral shortening osteotomy of the first metatarsal and proximal phalanx was performed.
作者报告了3例短掌(或“遗传性E型短指畸形”)病例。这些病症的特征是某些掌骨和跖骨异常短小,有时还伴有其他畸形和身材矮小。足部可能需要根据畸形类型采用不同的手术矫正方法:若短骨数量较少,则延长短骨;若只有一根“长”骨,则缩短该骨。手术指征取决于疼痛程度,而非美观因素。在所报告的病例中,有一例对第一跖骨和近节趾骨进行了双侧缩短截骨术。