在 Orthostatic 和 Coleman 区块测试位置下灵活的 Cavovarus 变形中后脚对齐:一个承重计算断层扫描研究:一个承重计算断层扫描研究
Eduardo Araujo Pires1, Carlos Felipe Teixeira Lobo1, Fabio Correa Fonseca1
1Laboratório Professor Manlio Mario Marco Napoli, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Foot & ankle international
|July 26, 2024
概括
科尔曼块测试改善了灵活的洞穴足形变形的3D对齐,特别是在轴平面. 然而,后脚的冠状线对齐仍然受到影响,这表明持续的Varus定位.
科学领域:
- 整形外科 整形外科 整形外科
- 足部医学是一门专业.
- 医疗成像医学成像
背景情况:
- 灵活的洞穴形变形是一种常见的足部疾病.
- 科尔曼阻塞测试是一种临床操作,用于评估后脚的灵活性和第一光线定位.
- 承重计算断层扫描 (WBCT) 提供了对脚和脚对齐的3D洞察力.
研究的目的:
- 为了比较3D骨头和临床对齐的变化,可灵活的洞穴脚在科尔曼块测试和正常站立.
- 评估灵活的洞穴病毒患者的WBCT测量结果,并将其与健康对照进行比较.
主要方法:
- 20名患有柔性洞穴形的患者和20名对照患者在站立和科尔曼块测试位置进行了WBCT扫描.
- 测量了关键的对齐参数,包括脚和关节偏移 (FAO),后脚对齐角度 (HAA),角角 (TCA),下垂直角 (SVA),角覆盖角度 (TNCA) 和WBCT临床后脚对齐角度 (WBCT-CHAA).
- 统计分析比较了位置和组之间的测量.
主要成果:
- 科尔曼阻断试验显著改善了洞穴病毒患者的WBCT-CHAA,FAO和TNCA (P < .0001).
- 尽管进行了校正,但WBCT-CHAA和FAO仍然与对照显著不同 (P < .001).
- TNCA修正到与对照组相似的水平 (P = .29),而冠状病毒测量 (HAA,TCA,SVA) 显示没有变化.
结论:
- 科尔曼块测试证明了灵活的洞穴形,特别是轴平面形 (TNCA) 和整体对齐 (FAO,WBCT-CHAA) 的3D对齐得到了改进.
- 冠状元后脚对齐 (HAA,TCA,SVA) 在科尔曼块试验中没有改善,表明持续的变异性.
- 在临床试验期间,WBCT提供了有价值的3D定量数据,用于评估足部对齐的变化.
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