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Bunion 拇囊肿: a painful swelling on the side of the big toe, partly down to the anatomy of the foot and worsened by ill-fitting shoes

拇趾一侧肿痛,由拇趾根部骨头排列异常所致,鞋子不合脚会使病情加重

20 cases of severed hallux were successfully replanted in our department.

对20例离断拇趾进行再植,全部成活,保全了拇趾的外形和功能。

The pathological changes of hallux valgus are diversity, including adduct of metatarsus primus, increasing of the intermetatarsal angle between the first and second metatarsal bones, increasing of hallux valgus angle, dislocation of sesamoides, lost of soft tissue balancing. X-ray is the most important method to measure the pathological changes of hallux valgus.

拇外翻其病理改变具有多样性的,包括第一跖骨内收、第一,二跖骨间角增大、拇趾外翻角增大、第一跖趾关节近端关节面固定角或远端关节面固定角增大、籽骨移位、软组织平衡的改变等。X射线测量是确定拇外翻病理改变的主要的手段。

This incision forms an elliptical, racquet-shaped flap, attached at the base of the proximal phalanx (Fig. 1-24, C). Although distal reflection of this flap amply exposes the first metatarsophalangeal joint, because healing of the skin flap may be delayed, the use of a dorsomedial approach is preferable.

尽管向远端翻转皮瓣可充分显露第一跖趾关节,但由于皮瓣可能出现延迟愈合,因此在拇趾跖趾关节手术中采用背内侧切口更为适宜。

Because heel is high, human body weighs heart reach, more heavy sufficient the trend that pushs ahead, force Mu foot to slant outwards crooked, form bag of Mu foot evaginate, Mu phlogistic, red, aching, serious person dare not wear a shoe, on foot the 2nd foot forms; weight state toe is unbalanced.

由于鞋跟高,人体重心前移,更加重了足向前挤的趋势,迫使拇趾向外偏歪,形成拇趾外翻、拇囊炎,红肿、疼痛,严重者不敢穿鞋、走路;第2趾形成锤状趾畸形。

Total Ridge Count of toe,hallucis area,hypothenar distal and interdigitorum of each 50 cases of hereditary and nonhereditary mental deficiency groups were analysed,and compared with those of the control groups respectively.

本工作对遗传型智力残疾患者和非遗传型智力残疾患者各50例的趾端、拇趾球区、小鱼际远端区、趾间区的皮肤嵴纹数进行分析,并分别与对照组的同类资料比较。

The results showed that TRC of hypothenar distal had reference value to diagnose mental deficiency,and TRC of toe,hallucis area and each interdigitorum had a certain reference value to diagnose mental deficiency and distinguish between hereditary and non-hereditary mental deficiency.

这些结果表明,小鱼际远端区皮肤嵴纹数在诊断智残患者中有一定参考价值,趾端、拇趾球区、各趾间区的皮肤嵴纹数在智残患者的诊断中以及遗传型与非遗传型智残患者的鉴别方面都有一定的参考价值。

The pathological changes of hallux valgus are diversity, including adduct of metatarsus primus, increasing of the intermetatarsal angle between the first and second metatarsal bones, increasing of hallux valgus angle, dislocation of sesamoides, lost of soft tissue balancing.

拇外翻其病理改变具有多样性的,包括第一跖骨内收、第一,二跖骨间角增大、拇趾外翻角增大、第一跖趾关节近端关节面固定角或远端关节面固定角增大、籽骨移位、软组织平衡的改变等。X射线测量是确定拇外翻病理改变的主要的手段。

Make a curved incision 5 cm long on the medial aspect of the joint (Fig. 1-24, A). Begin it just proximal to the interphalangeal joint, curve it over the dorsum of the metatarsophalangeal joint medial to the extensor hallucis longus tendon, and end it on the medial aspect of the first metatarsal 2.5 cm proximal to the joint.

于关节内侧做一5cm弧形切口(图1-24,A),切口起自趾间关节近端,弧形延伸至拇趾跖趾关节的背侧,拇长伸肌腱内侧,终止于跖趾关节近侧2.5 cm处的第一跖骨内侧面。

Make a cured incision 5 cm long on the medial aspect of the joint (Fig. 1-24, A). Begin it just proximal to the interphalangeal joint, cure it oer the dorsum of the metatarsophalangeal joint medial to the extensor hallucis longus tendon, and end it on the medial aspect of the first metatarsal 2.5 cm proximal to the joint.

于关节内侧做一5cm弧形切口(图1-24,A),切口起自趾间关节近端,弧形延伸至拇趾跖趾关节的背侧,拇长伸肌腱内侧,终止于跖趾关节近侧2.5 cm处的第一跖骨内侧面。

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