Bleck E E
J Pediatr Orthop. 1983 Feb;3(1):2-9.
In a retrospective study of results of treatment in 160 children (265 feet) who had metatarsus adductus prospectively defined by severity and flexibility, we found that in 147 patients treated with plaster casts or casts followed by derotation splints the only significant predictor of a good outcome was the age of the patient. Results were statistically significantly better when treatment was begun from ages 1 day to 8 months. No significant correlations with poor results were found using the severity and flexibility grading systems. Given the public attitude toward deformity, it seems wiser to treat in infancy those feet graded "moderate" or "severe." If treatment is not commenced until the child is old enough to preclude conservative treatment, extensive surgery will be necessary to correct a "severe" deformity.
在一项对160名儿童（265只脚）进行的回顾性研究中，这些儿童的跖骨内收症是根据严重程度和柔韧性前瞻性定义的，我们发现，在147名接受石膏固定或石膏固定后使用旋转矫正夹板治疗的患者中，良好预后的唯一显著预测因素是患者的年龄。从出生1天至8个月开始治疗时，结果在统计学上显著更好。使用严重程度和柔韧性分级系统未发现与不良结果有显著相关性。鉴于公众对畸形的态度，对于分级为“中度”或“重度”的足部，在婴儿期进行治疗似乎更为明智。如果直到孩子年龄足够大而无法进行保守治疗时才开始治疗，那么就需要进行广泛的手术来矫正“重度”畸形。
