儿童扁平足:文献综述(专家意见)

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引用次数: 0

摘要

平足是指足内侧纵弓(MLA)的减少或缺失,伴有或不伴有足部和踝关节的额外畸形。这是婴儿和儿童非常常见的骨科表现,通常在青春期消退。平足通常是灵活的,无痛的,没有功能上的损害,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,可能是病理学的征兆,如垂直距骨或跗骨联合。虽然它很常见,但没有标准的定义,也没有普遍接受的儿科扁平足分类系统。此外,目前还没有大型的前瞻性研究比较平足的自然史在发育期间对各种治疗的反应。目前的文献表明,简单地观察无症状的扁平足儿童是安全而适当的。疼痛的柔性扁平足可能受益于矫形干预,如物理治疗,矫形器或有时手术过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Flat Foot in the Children: a Review of Literature (Expert Opinion)
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.
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