Alterations in talar morphology associated with adult flatfoot
Alterations in talar morphology associated with adult flatfoot
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DOI：
10.1177/107110079701801105
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发表时间：
1997-11-01
影响因子：
2.7
通讯作者：
Sangeorzan, BJ
中科院分区：
文献类型：
--
作者：
Anderson, JG;Harrington, R;Sangeorzan, BJ
为了更好地了解导致扁平足症状的因素的解剖结构，我们将扁平足的距骨形状与正常足弓足的对照高距骨形状进行了比较。对 9 名患有 10 处扁平足畸形症状的成年患者进行了计算机断层扫描 (CT) 扫描。随机选择 10 只脚的 CT 扫描作为对照，用于评估不涉及距骨的急性创伤。扁平足身高的总体长度往往比对照身高更长，并且这种差异在统计学上并不显着。当比较两组高个子的距骨长度与距骨宽度（P = 0.011）、距骨长度与距骨高度（P = 0.001）（相对于身高和宽度而言较长）以及头长与头宽（P = 0.001）的比率时，发现了统计学上的显着差异。与总长度相比，平足组的距骨宽度更窄，高度更短，并且头部更长。横向平面比正常外观的英尺高。临床相关性：当对成人扁平足进行手术矫正时，应使用足部的外观而不是标准的放射线参数来判断减少程度。骨骼形状的改变可能会改变标准射线照相参数。
To gain a better understanding of the anatomy of the factors contributing to symptomatic flatfoot, we compared the shape of the talus in feet that were flat to that in control tall from feet with a normal arch. Computed tomographic (CT) scans were performed on 9 adult patients with 10 symptomatic flatfoot deformities. CT scans of 10 feet being evaluated for acute trauma not involving the talus were randomly selected as controls. Flatfoot tall tended to be of greater overall length than the control tall, and this difference was not statistically significant. Statistically significant differences were found when comparing ratios of talar length with talar width (P = 0.011), talar length with talar height (P = 0.001) (they were long relative to their height and width), and head length with head width (P = 0.001) for individual tall from the two groups.The tali from the flatfoot group were narrower in width and shorter in height when compared with overall length and had heads that were more elongated in the transverse plane than tall in feet with a normal appearance. Clinical correlation: When performing surgical correction of a flatfoot in an adult, appearance of the foot rather than standard radiographic parameters should be used to judge the reduction. The altered shape of the bone may alter the standard radiographic parameters.