儿科Pes Planus

Nazan Kaymaz, Burak Kaymaz
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引用次数: 0

摘要

扁平足(pes planus)被描述为足部内侧纵弓(MLA)减少或缺失,伴有或不伴有足部和脚踝的额外畸形。它是婴儿和儿童的一种非常常见的骨科表现,通常在青春期解决。平足通常是灵活和无痛的,没有功能损害,因此被描述为生理性的。在一些罕见的情况下,扁平足会变得疼痛或僵硬,可能是病理学的迹象,如垂直距骨或跗骨联盟。尽管它很常见,但对于儿童扁平足没有标准的定义,也没有普遍接受的分类系统。此外,还没有大型前瞻性研究比较扁平足的自然史对发育期各种治疗的反应。目前的文献表明,简单地观察无症状的扁平足儿童是安全和合适的。疼痛的柔性扁平足可能受益于骨科干预,如物理治疗、矫形器或有时的外科手术。关键词:平足、扁平足、婴儿、儿童、足弓、外科
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Pediatrik Pes Planus (düztabanlık)
Flatfoot (pes planus) is described as a reduction or absence of the medial longitudinal arch (MLA) of the foot, with or without additional deformities of the foot and ankle. It is a very common orthopedic manifestation in infants and children and usually resolves by adolescence. Flat foot is usually flexible and painless with no functional compromise so that described as physiologic. In some rare cases flatfoot can become painful or rigid and may be a sign of pathology such as vertical talus or tarsal coalition. Although it is very common, there is no standard definition and no universally accepted classification system for pediatric flatfoot. Furthermore there are no large, prospective studies comparing the natural history of flatfoot in response to various treatments during the developmental period. Current literature suggests that it is safe and appropriate to simply observe an asymptomatic child with flatfoot. Painful flexible flatfoot may benefit from orthopedic intervention such as physical therapy, orthosis or sometimes a surgical procedure.Keywords: Pes planus, flatfoot, infant, child, foot arch, surgery
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来源期刊
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发文量
20
审稿时长
14 weeks
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