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[X线片中的先天性和后天性足部畸形]

[Congenital and acquired foot deformities in the x-ray picture].

作者信息

Weber M

出版信息

Radiologe. 1986 Jul;26(7):311-6.

PMID:3749503
Abstract

In addition to general radiologic aspects there are special orthopedic considerations in interpretation of x-rays of the foot. This is especially important for the diagnosis of orthopedic foot diseases. In clubfoot x-rays are useful for therapeutic planning and control. Even in the first months of life radiographs can show important disturbances of growth of the foot and displacement of the bones of the tarsus. In other congenital foot deformities x-rays are important for diagnostic reasons: they prove luxations or skeletal deformities. The most important acquired foot disease is the pronating foot. X-rays do not only show the amount of joint damage and structural changes of bones but also allow to draw conclusions to be drawn about the causes of static and dynamic changes of the foot skeleton. Functional diagnostic radiological investigation is of decisive importance for evaluation of infantile pronating foot. X-rays allow the differentiation to be made between physiological and pathologic changes. Subtle radiographic investigation is essential while planning operative treatment in childhood, as in adults.

摘要

除了一般的放射学方面,在解读足部X线片时还有特殊的骨科考量。这对于骨科足部疾病的诊断尤为重要。在马蹄内翻足中,X线片对治疗规划和控制很有用。即使在生命的最初几个月,X线片也能显示足部生长的重要紊乱以及跗骨的移位。在其他先天性足部畸形中,X线片出于诊断原因很重要:它们能证实脱位或骨骼畸形。最重要的后天性足部疾病是旋前足。X线片不仅能显示关节损伤的程度和骨骼的结构变化,还能让人对足部骨骼静态和动态变化的原因得出结论。功能性诊断放射学检查对评估婴儿旋前足具有决定性意义。X线片能区分生理和病理变化。在儿童期像在成人中一样,在规划手术治疗时,细致的X线检查至关重要。

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