McKay D W
J Bone Joint Surg Am. 1983 Sep;65(7):975-80.
Iatrogenic dorsal bunions in children, observed mostly after operations for post-poliomyelitic paralysis or club foot, have been successfully treated by an operation in which the tendons of the flexor brevis and the abductor and adductor muscles of the hallux are transferred to the neck of the first metatarsal. This is supplemented by removal of the sesamoids, capsulotomy of the metatarsophalangeal joint, and when necessary by arthrodesis or tenodesis of the metatarsophalangeal joint. In seventeen feet treated in this way only one failure, in a patient with arthrogryposis, was recorded.
儿童医源性拇囊炎大多在脊髓灰质炎后瘫痪或马蹄内翻足手术后出现，通过一种手术已成功治疗，该手术将拇短屈肌以及拇趾展肌和收肌的肌腱转移至第一跖骨颈部。此外，还需切除籽骨、进行跖趾关节囊切开术，必要时进行跖趾关节融合术或腱固定术。用这种方法治疗的17只脚中，仅1例失败，该患者患有先天性多发性关节挛缩症。
