一名6岁女孩双侧先天性拇内翻伴内收跖骨：病例报告。
Bilateral congenital hallux varus with metatarsus adductus in a 6-year-old girl: A case report.
作者信息
Saiouf Yaman, Al Aji Nuha, Ali Nizam Nabeel, Ibrahim Alia, Laila Abdulrahman
机构信息
Faculty of Medicine, Damascus University, Damascus E5N 2B9, Dimashq, Syria.
Department of Orthopedic Surgery, Al Asaad University Hospital, Al Mowasat University Hospital, University Pediatric Hospital, Damascus, Damascus 31002, Dimashq, Syria.
出版信息
World J Clin Cases. 2025 Jul 16;13(20):105327. doi: 10.12998/wjcc.v13.i20.105327.
BACKGROUND
Congenital hallux varus (CHV) is a rare form of hallux varus deformity, characterized by medial deviation of the first toe at the metatarsophalangeal joint. It may be primary or secondary and presents clinically with pain and asymmetry with footwear.
CASE SUMMARY
We documented a case of a 6-year-old girl with bilateral CHV, accompanied by adduction of the toes in the left foot. Clinical diagnosis was made by physical examination and X-ray imaging based on Bleck's classification. Conservative treatment did not show any noticeable improvement, so the child underwent corrective surgeries on both feet.
CONCLUSION
The patient's family history is positive, which requires us to take into account the importance of checking for a family history with any complaint of CHV, and both feet must be evaluated to confirm whether the deformity is unilateral or bilateral.
背景
先天性拇内翻（CHV）是拇内翻畸形的一种罕见形式，其特征为第一趾在跖趾关节处向内侧偏斜。它可能是原发性的或继发性的，临床上表现为疼痛以及穿鞋时的不对称。
病例摘要
我们记录了一名6岁双侧CHV女童的病例，其左脚还伴有脚趾内收。通过体格检查和基于布莱克分类法的X线成像进行临床诊断。保守治疗未显示出任何明显改善，因此该患儿接受了双脚的矫正手术。
结论
患者家族史呈阳性，这要求我们在遇到任何CHV主诉时都要考虑检查家族史的重要性，并且必须对双脚进行评估以确认畸形是单侧还是双侧。
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