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关于内八字和外八字的思考:5000多例病例的二十年经验及文献综述

Thoughts on in-toeing and out-toeing: twenty years' experience with over 5000 cases and a review of the literature.

作者信息

Weseley M S, Barenfeld P A, Eisenstein A L

出版信息

Foot Ankle. 1981 Jul;2(1):49-57. doi: 10.1177/107110078100200109.

DOI:10.1177/107110078100200109
PMID:7030890
Abstract

We are reporting over 5000 cases of children presenting with toeing-in or toeing-out problems. Patients were seen over a period of 20 years. The toeing-in and toeing-out gait patterns are discussed in terms of the relationship to the hip joint and the tibiofibular unit. It is concluded by the authors that most of these problems represent normal variants in the development of the child and require no treatment. The necessity and modalities of therapy for the remainder are discussed in detail. The current literature on the subject is also reviewed.

摘要

我们报告了5000多例出现内八字或外八字问题的儿童病例。这些患者是在20年的时间里接诊的。本文根据内八字和外八字步态模式与髋关节及胫腓骨单元的关系进行了讨论。作者得出结论,这些问题大多是儿童发育过程中的正常变异,无需治疗。文中还详细讨论了其余病例的治疗必要性及方式。此外,还对该主题的现有文献进行了综述。

相似文献

1
Thoughts on in-toeing and out-toeing: twenty years' experience with over 5000 cases and a review of the literature.关于内八字和外八字的思考:5000多例病例的二十年经验及文献综述
Foot Ankle. 1981 Jul;2(1):49-57. doi: 10.1177/107110078100200109.
2
Is in-toing gait physiological in children? - Results of a large cohort study in 5910 healthy (pre-) school children.内八字步态在儿童中是生理性的吗?——对5910名健康学龄前儿童的大型队列研究结果
Gait Posture. 2018 Oct;66:70-75. doi: 10.1016/j.gaitpost.2018.08.019. Epub 2018 Aug 20.
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Out-toeing and in-toeing in patients with Perthes disease: role of the femoral hump.佩特兹病患者的足外旋和足内旋:股骨隆突的作用
J Pediatr Orthop. 2008 Oct-Nov;28(7):717-22. doi: 10.1097/BPO.0b013e318186c4be.
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Common rotational variations in children.儿童常见的旋转变化。
J Am Acad Orthop Surg. 2003 Sep-Oct;11(5):312-20. doi: 10.5435/00124635-200309000-00004.
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In-toeing and out-toeing in children.儿童的内八字和外八字。
J Fam Pract. 1983 May;16(5):1005-11.
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In-toeing gait in children.儿童内八字步态
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Foot loading patterns can be changed by deliberately walking with in-toeing or out-toeing gait modifications.可以通过故意采用内八字或外八字步态来改变足部受力模式。
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Prevalence of specific gait abnormalities in children with cerebral palsy revisited: influence of age, prior surgery, and Gross Motor Function Classification System level.重新审视脑性瘫痪患儿特定步态异常的患病率:年龄、既往手术及粗大运动功能分类系统水平的影响
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Hip rotation and in-toeing gait. A study of normal subjects from four years until adult age.髋关节旋转与内八字步态。对从四岁到成年的正常受试者的一项研究。
Clin Orthop Relat Res. 1990 Feb(251):177-82.
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External rotation contracture of the extended hip. A common phenomenon of infancy obscuring femoral neck anteversion and the most frequent cause of out-toeing gait in children.伸展位髋关节外旋挛缩。这是婴儿期常见现象,会掩盖股骨颈前倾角,也是儿童外八字步态最常见的原因。
Clin Orthop Relat Res. 1975 Jul-Aug(110):139-45.

引用本文的文献

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Efficacy of a Tibia Counter Rotator System for the Treatment of Internal Tibial Torsion in Children.一种胫骨反向旋转系统治疗儿童胫骨内旋的疗效
Children (Basel). 2022 Jun 29;9(7):970. doi: 10.3390/children9070970.
2
Effectiveness of medial-wedge insoles for children with intoeing gait who fall easily.内侧楔形鞋垫对易摔倒的内八字步态儿童的有效性。
Turk J Phys Med Rehabil. 2019 Feb 14;65(1):9-15. eCollection 2019 Mar.
3
In-toeing and out-toeing gait conservative treatment; hip anteversion and retroversion: 10-year follow-up.
内八字和外八字步态的保守治疗;髋关节前倾和后倾:10年随访。
J Res Med Sci. 2015 Nov;20(11):1084-7. doi: 10.4103/1735-1995.172833.
4
The therapeutic effect of tibia counter rotator with toe-out gait plate in the treatment of tibial internal torsion in children.带外旋足趾步态板的胫骨反向旋转器治疗儿童胫骨内旋的疗效
Ann Rehabil Med. 2014 Apr;38(2):218-25. doi: 10.5535/arm.2014.38.2.218. Epub 2014 Apr 29.
5
The development of tibiofibular torsion.胫腓骨扭转的发展
Surg Radiol Anat. 1990;12(2):109-12. doi: 10.1007/BF01623334.