Os intermetatarseum may not interfere with metatarsus primus varus deformity correction: A case report: 蹠骨不一定妨礙第一蹠骨內翻矯正的病例報告

Publication date: December 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 25Author(s): Daniel Y. WuAbstractIt has been believed that the correction of metatarsus primus varus (MPV) deformity of hallux valgus foot using nonosteotomy procedures would be compromised by the presence of os intermetatarseum (OI). Therefore, no soft tissue procedure has ever been reported for the correction of MPV deformity of hallux valgus foot.This is a case report of a female patient with bilateral hallux valgus deformity and also a large OI of her left foot that was corrected, satisfactorily and simultaneously, with a soft tissue technique called syndesmosis procedure, without osteotomy or OI resection. Excellent feet function was observed for 2 years until her last follow-up examination without any symptoms or signs of problems relating to the OI in her left foot.This case report demonstrated for the first time that OI may not interfere with proper MPV deformity correction because it can be preexisting and X-ray can be misleading.摘要在進行拇趾外翻矯正手術，如果有蹠間骨的存在，醫學界一直認為它會阻礙第一蹠骨回復正常的位置。因此，過去總是採用截骨方式，而從未嘗試使用非截骨方法。本報告是證實一名女士患有雙邊拇趾外翻及同時左足患有蹠間骨的症狀下，可通過軟組織韌帶聯合術，不需進行截骨術或切除蹠間骨，就能順利地將雙腳的問題矯正。在術...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - Category: Orthopaedics Source Type: research