针刀治疗第二趾内翻合并第一跖趾外翻1例。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
Zehao Hu, Hao Qin, Qiuxuan Huang, Zhanxin Li
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引用次数: 0

摘要

拇外翻(HV)以第一跖趾关节(MJ)外侧偏曲和内侧跖骨突出为特征,常引起疼痛和步态障碍。传统的治疗方法在疗效和侵入性方面存在局限性。针刀是一种微创显微手术技术,使用针刀和微创伤来分离与挛缩相关的组织。它可以在有或没有超声引导的情况下使用。本报告描述了一名52岁女性,其第二趾内翻畸形和左第一跖趾关节外翻畸形采用微创针刀治疗。病例报告:一名52岁女性,5年历史,左脚疼痛,第二趾内翻,第一跖趾外翻,尽管保守治疗,但活动恶化。症状包括骨痂形成和关节活动受限。诊断为这两种畸形后,她接受了6次针刀治疗,目标是内侧第一MJ囊、拇内收/外展肌腱插入点、第二趾屈肌鞘、内侧第二MJ囊和跖间韧带,随后进行了动态牵引和肌肉训练。术后即刻结果:第二趾内翻角(TVA)减小≥15°,被动伸角改善bbb10°,拇外翻角(HVA)减小≥5°。随访2个月,TVA进一步改善≥18°,被动伸位增加bbb13°,HVA稳定≥5°,视觉模拟量表疼痛评分降至3分。结论针刀通过释放软组织挛缩和重新分配足底应力,有效地恢复足部生物力学,实现机械矫正和功能恢复。这种微创方法对轻度至中度伴继发性畸形的丙型肝炎,特别是手术禁忌的丙型肝炎,具有良好的治疗前景。需要进一步的研究来标准化方案并验证长期疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acupotomy to Treat Inversion of the Second Toe Combined with Eversion of the First Metatarsophalangeal Toe: A Case Report.

BACKGROUND Hallux valgus (HV), characterized by lateral deviation of the first metatarsophalangeal joint (MJ) and medial metatarsal protrusion, frequently causes pain and gait dysfunction. Conventional treatments face limitations in efficacy or invasiveness. Acupotomy is a minimally invasive microsurgery technique that uses a needle knife and microtrauma to detach tissue associated with contractures. It may be used with or without ultrasound guidance. This report describes the case of a 52-year-old woman with varus deformity of the second toe and valgus deformity of the left first metatarsophalangeal joint that was managed with minimally invasive acupotomy. CASE REPORT A 52-year-old woman presented with a 5-year history of left foot pain, second toe varus, and first metatarsophalangeal valgus, worsening with activity despite conservative management. Symptoms included callus formation and limited joint mobility. Diagnosed with both deformities, she underwent 6 acupotomy sessions targeting the medial first MJ capsule, adductor/abductor pollicis tendon insertions, second toe flexor sheath, medial second MJ capsule, and intermetatarsal ligament, followed by dynamic traction and muscle training. Immediate post-treatment results showed second toe varus angle (TVA) reduction ≥15°, passive extension improvement >10°, and hallux valgus angle (HVA) decrease ≥5°. At 2-month follow-up, TVA further improved ≥18°, passive extension increased >13°, HVA stabilized ≥5° reduction, and pain as measured on the visual analogue scale decreased to 3 points. CONCLUSIONS Acupotomy effectively restored foot biomechanics by releasing soft tissue contractures and redistributing plantar stress, achieving mechanical correction and functional recovery. This minimally invasive approach demonstrates promise for mild-to-moderate HV with secondary deformities, particularly for which surgery is contraindicated. Further studies are warranted to standardize protocols and validate long-term efficacy.

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来源期刊
American Journal of Case Reports
American Journal of Case Reports Medicine-Medicine (all)
CiteScore
1.80
自引率
0.00%
发文量
599
期刊介绍: American Journal of Case Reports is an international, peer-reviewed scientific journal that publishes single and series case reports in all medical fields. American Journal of Case Reports is issued on a continuous basis as a primary electronic journal. Print copies of a single article or a set of articles can be ordered on demand.
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