Management of Checkrein Deformity.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-02-01 Epub Date: 2024-01-15 DOI:10.4055/cios23229

Min Gyu Kyung, Yun Jae Cho, Dong Yeon Lee

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引用次数: 0

Abstract

Checkrein deformity is characterized by the dynamic status of the hallux, in which flexion deformity is aggravated by ankle dorsiflexion and relieved by ankle plantarflexion. In most cases, a checkrein deformity occurs secondary to trauma or following surgery. It has been suggested that the flexor hallucis longus tendon tethers or entraps scar tissue or fracture sites. Improvement with conservative treatment is difficult once the deformity has already become entrenched, and surgical management is usually required in severe cases. Various surgical options are available for the correction of checkrein deformities. It includes a simple release of adhesion at the fracture site; lengthening of the flexor hallucis longus by Z-plasty at the fracture site combined with the release of adhesion; lengthening of the flexor hallucis longus by Z-plasty at the midfoot, retromalleolar, or tarsal tunnel area; and flexor hallucis longus tenotomy with interphalangeal arthrodesis for recurrent cases. This review aimed to summarize the overall etiology, relevant anatomy, diagnosis, and treatment of checkrein deformities described in the literature.

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Checkrein 畸形的治疗

格氏畸形的特点是踝关节处于动态状态，踝关节背屈时屈曲畸形加重，踝关节跖屈时屈曲畸形缓解。在大多数情况下，踝关节畸形是继发于外伤或手术后出现的。有人认为，拇长屈肌腱拴住或夹住了瘢痕组织或骨折部位。一旦畸形已经根深蒂固，保守治疗很难有所改善，严重病例通常需要手术治疗。有多种手术方案可用于矫正格氏畸形。其中包括在骨折部位进行简单的粘连松解术；通过在骨折部位进行 Z 形成形术延长拇屈肌并同时松解粘连；通过在中足、后踝或跗骨隧道部位进行 Z 形成形术延长拇屈肌；以及在复发病例中进行拇屈肌腱鞘切除术和指间关节成形术。本综述旨在总结文献中描述的格氏畸形的总体病因、相关解剖、诊断和治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.