儿童平脚:有没有需要手术转诊?
Manuel Vergillos Luna1,2, Adyb-Adrian Khal2, Kara A Milliken2
1Department of Orthopedics, Regina Montis Regalis Hospital, 12084 Mondovì, Italy.
Journal of clinical medicine
|June 10, 2023
概括
儿科平脚在儿童中很常见,通常会自然消失. 转诊专科护理只建议儿童经历疼痛或硬,而不是灵活的无症状病例.
科学领域:
- 儿科整形外科 儿科整形外科
- 发育儿科 发育儿科
背景情况:
- 儿童足部形,特别是平脚,影响了相当一部分学龄前儿童.
- 缺乏标准化的指导方针和定义使儿科平脚病的管理和转诊过程变得复杂.
研究的目的:
- 为初级保健医生提供有关儿童平脚病管理的指导.
- 为了澄清什么时候专业护理转诊是适当的平脚儿童.
主要方法:
- 使用PubMed和Cochrane图书馆进行了非系统的文献审查.
- 包括专注于儿科平脚的发展,病因和评估的研究,不包括成年人群,手术结果和2001年以前的出版物.
主要成果:
- 在不同研究中,儿科平脚症的定义和管理存在显著的异质性.
- 10岁以下儿童的平脚是常见的,通常不是病理性的,除非与硬或功能限制有关.
结论:
- 灵活,无症状的儿科平脚通常只需要观察.
- 对于儿科平脚的手术转诊,应保留在显示硬度或疼痛的情况下.
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