Zollinger H, Fellmann J
Abteilung Fusschirurgie, Orthopädische Universitätsklinik Balgrist Zürich.
Orthopade. 1994 Jun;23(3):206-10.
The spectrum of normal variations of children's feet is extremely broad and often difficult to separate from pathological conditions. Especially the flexible flatfoot and the pes adductus normally disappear during growth, and even if they do persist up to adult life, they hardly have any pathological significance. It therefore appears proper to see foot deformities of children from the prognosis point of view, that is, to differentiate between a benign, pain-free course of development with no functional restriction even under load, and pathological deformities which systematically require conservative or surgical therapy. However, definite pathological conditions like pes equinovarus, talus verticalis, or foot deformities due to development of defects, without therapy lead in most cases to well-known deformations and often to painful functional disorders. Early detection and treatment can contribute to a favorable prognosis in many cases.
儿童足部正常变异的范围极为广泛，且常常难以与病理状况区分开来。尤其是柔韧性扁平足和内收足通常会在生长过程中消失，即便它们持续到成年期，也几乎没有任何病理意义。因此，从预后的角度看待儿童足部畸形似乎是恰当的，也就是说，要区分出一种良性的、无痛的发育过程，即使在负重情况下也没有功能受限，以及那些系统性地需要保守治疗或手术治疗的病理畸形。然而，诸如马蹄内翻足、垂直距骨或因发育缺陷导致的足部畸形等明确的病理状况，若不进行治疗，在大多数情况下会导致众所周知的畸形，且常常引发疼痛的功能障碍。早期发现和治疗在许多情况下有助于获得良好的预后。
