症状和无症状的柔性平脚的脚下压力:它们有什么区别?
Victoria Blackwood1, Kelly A Jeans1, Rusty L Hartman1
1Scottish Rite for Children, Dallas, Texas.
Journal of pediatric orthopedics. Part B
|January 22, 2026
概括
与无症状病例相比,患有症状的柔性平脚的青少年表现出明显的小步图学差异,特别是在中部中间脚部. 然而,这些差异并不能预测手术与非手术的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 儿科 儿科 儿科
背景情况:
- 青少年的柔性平脚通常缺乏临床/放射测量和疼痛之间的相关性.
- 症状与无症状的柔性平脚的原因尚不清楚.
- 小儿巴巴摄影可以提供对生物力学差异的见解.
研究的目的:
- 为了在青少年中比较症状灵活平脚 (SFF) 和无症状平脚 (AFF) 之间的小儿测试参数.
- 确定有助于症状性柔性平脚的生物力学因素.
- 评估SFF中操作和非操作管理之间的差异.
主要方法:
- 一个脚和脚注册的回顾性审查.
- 在SFF和AFF组中进行平面压力分析 (接触面积,接触时间,平均力).
- 使用牛津脚尺度 (OxAFM) 评估患者报告的结果.
主要成果:
- 与无症状平脚 (AFF) 和对照组相比,症状灵活平脚 (SFF) 在所有儿科测试变量中表现出显著的差异,特别是在中部.
- 在接受手术的SFF患者与非手术治疗的SFF患者之间没有观察到显著的儿巴图学差异.
- 手术组在牛津脚脚测量 (OxAFM) 中报告了学校/游戏和情绪健康的较差结果.
结论:
- 与无症状个体相比,有症状的柔性平脚青少年在体重分布中表现出中位移.
- 儿科医生测试结果没有区分手术和保守治疗在症状灵活平脚患者的成功.
- 需要进一步的研究来了解症状性柔性平脚病的病因,并指导治疗决策.
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