外翻足

We report a 2-month-old infant with Robinow syndrome. Clinical manifestations included short stature, characteristic facies, mesomelic brachymelia, brachydactyly, camptodaclyly, duplication of thumbs, hypoplasia of clitoris, and deformed pronated foot.

我们报告一个二个月大患有Robinow症候群的女婴，其临床表现包括身材短小、典型的脸部表现、四肢短小、短指、手指弯曲、两手拇指复制畸形、阴蒂发育不良及外翻足。

Forefoot plantar pressure distribution of Hallux Valgus is quite different from that of normal feet.

拇外翻足的前足底压力分布与正常足有显著性差异，PP和PTI最大值均位于第三跖骨头下，而在正常足则位于第二跖骨头下。

Normal position, that is, belonging to the physiological, the talipes.

正常位置的，就是属于生理性的内、外翻足。

And so on, may have implications on fetal abnormalities influential type legs, baby after birth,"varus changes talipes" is the most

等，都可能会对胎儿腿型异常有影响，孩子出生后，"内翻变化、外翻足"则是最

Because the mother was found uterine leiomyomata during her pregnancy, literature review was performed to understand the relationship between uterine leiomyomata of the pregnant woman and the talipes calcaneovalgus of the newborn infant. No direct relationship was found. The result of occupational therapy was satisfactory.

由於个案的母亲在怀孕期间患有子宫肌瘤，故回顾文献了解子宫肌瘤与出生婴儿的先天性跟骨外翻足的关系，结果并未发现有直接的关系。

Talipes calcaneovalgus is caused by the intrauterine malposture.

造成跟骨外翻足的原因可能是由於胎儿在子宫中不正常的姿势所致(Tachdjan，1990)。

Methods One hundred footprints of 56 children who were cerebral palsy with talipes valgus in the hospital-community-family-based rehabilitation mode were divided into light, middle and heavy types, and they were counted with two footprint-based approaches, and the two approaches were compared with chi-square criterion, and the dependability on consequence of the footprint and lateral X-rays in weight loading were analyzed.

选取56例采用医院－社区－家庭网络化康复模式流程进行康复治疗的脑瘫患儿，其临床诊断的100只外翻足取其足印图，然后应用三线法与比值法将100只外翻足印图划分为轻、中、重度并计数，再对2种方法的测量结果进行χ^2检验；将足印图三线法、比值法划分的轻、中、重度结果分别与负重侧位X线片所测得数据作线性相关分析。

Method］from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法］2003年1月～2006年5月，根据ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

The flexor hallucis longus was about (3.24±2.32) mm lateral to the center of metatarsophalangeal joint. Dorsal skin of big toe was innervated by saphenous nerve, superficial and deep fibular nerve.

(1)正常与外翻足的比较中，伸肌腱的位置在足横纹及止点处无明显的差异，在跖附关节及跖趾关节处，外翻足的伸肌腱明显外移(P.05)：长屈肌腱也明显外移(P.05)。

BACKGROUND: Obsolete lateral ankle ligament injury is frequently treated by Chrisman-Snook operation. However, this operation destructs some peroneus brevis tendon, and affects the function of peroneus brevis tendon for foot valgus.

摘要背景：陈旧的踝关节外侧副韧带损伤常常采用Chrisman-Snook术式，但该术式需要牺牲部分自体腓骨短肌腱，使腓骨短肌腱外翻足的功能受到影响。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。