外翻籽骨位置变化及与跖趾关节功能关系的相关研究  

Relation between sesamoid position of hallux and the function of metatarsophalangeal joints

作　　者：董岩[1] 张建中[1] 

机构地区：[1]首都医科大学附属北京同仁医院骨科足踝外科,北京100730

出　　处：《中国矫形外科杂志》2008年第7期537-539,共3页Orthopedic Journal of China

摘　　要：[目的]探讨外翻足手术前、后籽骨位置的变化,及其与跖趾关节功能的关系。[方法]选取80只足(外翻足39只、正常足41只)作为研究对象,参考正常足籽骨位置,对外翻手术前、后籽骨到第2跖骨的距离、籽骨相对于第1跖骨的位置、第1跖趾关节功能的评分别行t检验。[结果]正常足、母外翻足手术前、后,籽骨到第2跖骨干的距离比较P值均大于0.05,差异无统计学意义;母外翻足手术前后,籽骨相对于第1跖骨的位置变化、第1跖趾关节功能评分比较P值均小于0.01,差异有统计学意义。[结论]籽骨相对于第1跖骨的位置和跖趾关节评分关系密切,手术前、后发生显著变化,籽骨相对于第2跖骨位置不发生变化。[ Objective] To discuss the alterations of sesamoid position before and after opertation and its relation to the function of the metatarsophalangeal joints. [Methods] Eighty feet （39 hallux valgus feet, 41 normal foot） were selected. The distance from sesamoids to the second metatarsal, the relative position of sesamoid bone to the first metatarsal bone, the function of the first metatarsophalangeal joints were determined and analyzed. [ Results] The distance from sesamoid to the second metatarsal had no statistical significance in normal feet compared with the hallux valgus feet （ P 〈 0. 05 ） ; the relations of the sesamoid position and the function of the first metatarsophalangeal joints before and after operation of hallux valgus had statistical significance （P〈0.01） . [ Conclusion] There is a positive correlation between the position of sesamoids and the function of metatarsophalangeal joints. However, the distance from sesamoid to the second metatarsal has no significant change in hallux valgus or normal feet.

关 键 词：籽骨位置 跖趾关节功能 正常足 拇外翻 

分 类 号：R682[医药卫生—骨科学]