跖痛症的病因及治疗(2)
3 小 结
近几年,对前足疼痛的病因及治疗研究颇多,尤其是跖骨头平均负重比例已经明确,由此可判断转移性前足痛同时指导制定治疗方案;跖板损伤与前足疼痛关系密切,可以手术治疗修复跖板。足手术及踇外翻手术一定遵循前足的生物力学规律避免出现医源性前足痛。
4 参考文献
[1]Borton DC,Stephens MM.Basal metatarsal osteotomy for hallux valgus[J].J Bone Joint Surg Br,1994,76-B(2):204-209.
[2]Garcia-Aznar JM,Bayod J,RosasA,et al.Load transfer mechanism for different metatarsal geometries :a finite element study[J].J Biomech Eng,2009,131(2):021011.
[3]Aigner N,Petje G,Steinboeck G,et al.Bone marrow edema of the forefoot after chevron osteotomy-a rare cause of metatarsalgia:a case report[J].Foot Ankle Int,2002,23(5):447-451.
[4]孟祥仁,曹曦光,葛媛媛,等.伸趾长肌腱悬吊跖骨头手术治疗转移性跖痛症49例分析[J].中国临床研究,2012,25(7):684-685.
[5]Sennery-Cottet B,Archbold P,Thaunat M,et al.Fifth toe plantar plate repair in a professional soccer player:case report[J].Foot Ankle Int,2012,33(7):598-601.
[6]Gregg J,Silberstein M,Clark C,et al.Plantar plate repair and weil osteotomy for metatarsophalangeal joint instability[J].Foot ankle surg,2007,13(3):116-121.
收稿日期:2014-05-07;修回日期:2014-06-22, 百拇医药(冯国平 张诚 姜剑魁 盖茂杨 焦伟)
近几年,对前足疼痛的病因及治疗研究颇多,尤其是跖骨头平均负重比例已经明确,由此可判断转移性前足痛同时指导制定治疗方案;跖板损伤与前足疼痛关系密切,可以手术治疗修复跖板。足手术及踇外翻手术一定遵循前足的生物力学规律避免出现医源性前足痛。
4 参考文献
[1]Borton DC,Stephens MM.Basal metatarsal osteotomy for hallux valgus[J].J Bone Joint Surg Br,1994,76-B(2):204-209.
[2]Garcia-Aznar JM,Bayod J,RosasA,et al.Load transfer mechanism for different metatarsal geometries :a finite element study[J].J Biomech Eng,2009,131(2):021011.
[3]Aigner N,Petje G,Steinboeck G,et al.Bone marrow edema of the forefoot after chevron osteotomy-a rare cause of metatarsalgia:a case report[J].Foot Ankle Int,2002,23(5):447-451.
[4]孟祥仁,曹曦光,葛媛媛,等.伸趾长肌腱悬吊跖骨头手术治疗转移性跖痛症49例分析[J].中国临床研究,2012,25(7):684-685.
[5]Sennery-Cottet B,Archbold P,Thaunat M,et al.Fifth toe plantar plate repair in a professional soccer player:case report[J].Foot Ankle Int,2012,33(7):598-601.
[6]Gregg J,Silberstein M,Clark C,et al.Plantar plate repair and weil osteotomy for metatarsophalangeal joint instability[J].Foot ankle surg,2007,13(3):116-121.
收稿日期:2014-05-07;修回日期:2014-06-22, 百拇医药(冯国平 张诚 姜剑魁 盖茂杨 焦伟)