从胎儿到成年期的足患者和非足患者之间的足形态的差异:系统性审查
Manon Pigeolet1,2, Adam Nasreddine1, Sion Yu Jang2,3
1Department of Orthopaedics and Sports Medicine, Boston Children's Hospital, Boston, Massachusetts.
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|June 11, 2025
概括
clubfoot 的骨有异常的形状 (失塑性),在儿童时期的平坦化增加. 话形态的这些差异可能是天生的或获得的,影响脚的严重程度.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 脚和脚手术 脚和脚手术
背景情况:
- 体对于理解脚 (先天性脚 equinovarus) 病理生理学至关重要.
- 形形,包括平顶形,在足中很常见,但不太了解.
- 平顶塔卢斯可能会导致脚运动受限和前脚撞击.
研究的目的:
- 系统地审查和评估脚和非脚个体之间的骨的形态差异.
- 为了澄清足患者口腔发育不良的性质和程度.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在MEDLINE/PubMed,Embase和Scopus中搜索了关于脚足的舌形态学的研究.
- 从包括的研究中收集了人口统计数据和口腔形态变量.
主要成果:
- Clubfoot talus表现出多维性发育不良,在生命早期普遍存在 talar 平面化,并在童年时稳定.
- 塔拉长度和横向塔拉部角的差异在青春期减少.
- 塔拉体形态差异可能是先天的和获得的,平顶塔卢斯和脚严重程度之间可能存在相关性.
结论:
- 在脚患者中,包括平顶骨在内的形发育不良需要进一步调查.
- 需要进行额外的研究,以制定针对平顶塔卢斯的知情治疗指南.
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