Gomez V R
Philippine Orthopaedic Institute, Makati, Metro Manila, Philippines.
Clin Orthop Relat Res. 1996 Feb(323):155-62. doi: 10.1097/00003086-199602000-00021.
Thirty-five children who had congenital annular constricting bands (Streeter's dysplasia) with associated clubfeet seen by the author from September 1989 to March 1992 were reviewed with respect to quality of the clubfeet,the relationship of the bands with the clubfeet, possible prenatal factors, and treatment results. It was noted that all the clubfeet were rigid even if there were no constricting bands in the leg with the clubfoot. The clubfeet responded poorly to casting (6% success) and 77% required surgical correction. Z-plasties of deep bands were done before clubfoot correction. There was a high incidence of abnormal pregnancies with attempts at abortion in 66% of the cases, suggesting intrauterine insult early in the pregnancy as a factor causing both the clubfeet and the Streeter's dysplasia.
作者回顾了1989年9月至1992年3月间诊治的35例患有先天性环状束带（斯特里特发育异常）并伴有马蹄内翻足的儿童病例，内容涉及马蹄内翻足的质量、束带与马蹄内翻足的关系、可能的产前因素以及治疗结果。值得注意的是，即便患侧下肢没有束带，所有马蹄内翻足均表现为僵硬。马蹄内翻足对石膏固定效果不佳（成功率为6%），77%的病例需要手术矫正。在矫正马蹄内翻足之前先对深部束带进行Z成形术。66%的病例存在异常妊娠并尝试过堕胎，这表明妊娠早期的宫内损伤是导致马蹄内翻足和斯特里特发育异常的一个因素。
