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短跖骨症

Brachymetatarsia.

作者信息

Sepulveda Matías, Orellana Gabriel, Sanchez Francisco, Birrer Estefania

机构信息

Universidad Austral de Chile, Valdivia, Chile.

Hospital Base de Valdivia, Valdivia, Chile.

出版信息

EFORT Open Rev. 2024 Apr 4;9(4):235-240. doi: 10.1530/EOR-23-0011.

DOI:10.1530/EOR-23-0011
PMID:38579763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11044089/
Abstract

Brachymetatarsia involves a reduction in length of one or more metatarsals. The affected metatarsal is shortened by 5 mm or more, altering the normal metatarsal parabola. In addition to being an aesthetic deformity, it can present with pain due to transfer metatarsalgia. A possible association with genetic disorders needs to be investigated during clinical evaluation. Surgical treatment may involve a one-stage lengthening procedure or progressive distraction, each having its advantages and limitations.

摘要

短跖骨症是指一根或多根跖骨长度缩短。受累跖骨缩短5毫米或更多，改变了正常的跖骨抛物线。除了是一种美学畸形外，它还可能因转移性跖痛症而出现疼痛。在临床评估期间需要调查其与遗传疾病的可能关联。手术治疗可能包括一期延长手术或渐进性牵张，每种方法都有其优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6371/11044089/7511db1abdbd/EOR-23-0011fig11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6371/11044089/081c53d8434d/EOR-23-0011fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6371/11044089/8b527130ca70/EOR-23-0011fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6371/11044089/c5eaf8910353/EOR-23-0011fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6371/11044089/7511db1abdbd/EOR-23-0011fig11.jpg

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本文引用的文献

1
Brachymetatarsia: A Classification for Surgical Treatment.短跖骨症：一种手术治疗的分类方法。
J Foot Ankle Surg. 2023 Jan-Feb;62(1):132-149. doi: 10.1053/j.jfas.2022.06.002. Epub 2022 Jun 11.
2
Brachymetatarsia: Surgical Management, Case Report, and Literature Review.短跖症：手术治疗、病例报告及文献综述
Case Rep Orthop. 2022 Mar 10;2022:8253096. doi: 10.1155/2022/8253096. eCollection 2022.
3
One-Stage Lengthening and Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Brachymetatarsia.一期延长与微创跖骨干骺端截骨术（DMMO）治疗短趾畸形。
Foot Ankle Int. 2022 Feb;43(2):274-279. doi: 10.1177/10711007211039526. Epub 2021 Sep 24.
4
Brachymetatarsia: One-stage Versus Two-Stage Procedures.短跖症：一期手术与二期手术
Foot Ankle Clin. 2019 Dec;24(4):677-687. doi: 10.1016/j.fcl.2019.08.010. Epub 2019 Oct 8.
5
Metatarsalgia.跖痛症
Orthop Traumatol Surg Res. 2017 Feb;103(1S):S29-S39. doi: 10.1016/j.otsr.2016.06.020. Epub 2017 Jan 18.
6
Callus Distraction Versus Single-Stage Lengthening With Bone Graft for Treatment of Brachymetatarsia: A Systematic Review.骨痂牵张术与一期植骨延长术治疗短跖骨的系统评价
J Foot Ankle Surg. 2015 Sep-Oct;54(5):927-31. doi: 10.1053/j.jfas.2015.02.013. Epub 2015 May 19.
7
One-stage metatarsal lengthening by allograft interposition: a novel approach for congenital brachymetatarsia.同种异体骨移植一期延长术治疗先天性短趾畸形：一种新方法。
Clin Orthop Relat Res. 2010 Jul;468(7):1933-42. doi: 10.1007/s11999-009-1212-0. Epub 2010 Jan 8.
8
Treatment of brachymetatarsia by distraction osteogenesis.通过牵张成骨术治疗短跖骨。
J Pediatr Orthop. 2006 Mar-Apr;26(2):250-4. doi: 10.1097/01.bpo.0000214922.18186.06.
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Brachymetatarsia.短跖骨症
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10
Forefoot morphotype study and planning method for forefoot osteotomy.前足形态类型研究及前足截骨术的规划方法
Foot Ankle Clin. 2003 Dec;8(4):695-710. doi: 10.1016/s1083-7515(03)00148-7.