Broughton N S, Graham G, Menelaus M B
Royal Children's Hospital, Melbourne, Australia.
J Bone Joint Surg Br. 1994 Jul;76(4):548-50.
In a consecutive series of 124 children with spina bifida we found that 220 (89%) of the 248 feet were deformed: 70 had a calcaneus deformity; 126 were in equinus; 16 were in valgus; 3 were in varus; and 5 had convex pes valgus. Operations were performed on 171 (78%) of the deformed feet. Spasticity of the muscles controlling the foot was detected in 36 (51%) of the 70 calcaneus feet and in 22 (17%) of the 126 equinus feet. The deformities were symmetrical in 94 children. There is a high incidence of foot deformity in patients with spina bifida who have no voluntary activity in the motors of the feet.
在连续的124例脊柱裂患儿中,我们发现248只脚中有220只(89%)存在畸形:70只患有跟骨畸形;126只呈马蹄足;16只呈外翻;3只呈内翻;5只呈凸形外翻足。对171只(78%)畸形脚进行了手术。在70只跟骨畸形脚中的36只(51%)以及126只马蹄足中的22只(17%)中检测到控制足部的肌肉痉挛。94名患儿的畸形是对称的。在足部运动无自主活动的脊柱裂患者中,足部畸形的发生率很高。