Young when ask for trouble of partial high-heeled shoes? Old lady of 6 a period of ten days " Mu ev

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Wear high-heeled shoes for a long time to perhaps jump the person of ballet may have seen such foot more or less (see figure below)

(outpatient service examines wear high-heeled shoes to bring about evaginate)

Did you see their collective drop? Having special malformation namely then " beetle-crusher abduct " !

Feel exceedingly shocking?

Today, we talk about this malformation " beetle-crusher abduct " -- Mu evaginate.

This year Europe grandma of 60 years old, young when like to wear high-heeled shoes, ache because of walking 2 years ago, discover right sufficient evaginate, did not cause at that time take seriously, also did not do any processing.

Feel right ache of sufficient big toe is apparent recently, evaginate is more and more serious, walk to accentuate sorely, the influence lives daily. In Chen state city after outpatient service of hospital of the first people is checked, draft " evaginate of right sufficient Mu " be closed to be admitted to hospital.

(before Europe grandma operation)

On March 15, doctor of He Yu unripe vice director undertook for Europe grandma right sufficient art of orthopaedic of bone of cut of bone of the first Zhi + art of orthopaedic of evaginate of right sufficient Mu.

After Europe grandma art the 6th day, can have walked in ward freely, to him worry dense disease of two years, her heart gives birth to deep feeling.

(line of the X before patient operation is checked)

Europe grandma says, she this foot may be young when wear high-heeled shoes to be caused carelessly.

These two years very torment her, wear 36 shoe originally, since the shoe that 39 must wear after the foot is out of shape, foot lamely a year many, go out buy dish to must let sweetheart for company go, cannot give far door at all.

Europe grandma says, come to a hospital early check seasonable processing with respect to this, it is she also does not understand only, still think age is old, the base can appear such metabolic circumstances, early it is OK to know operation cure, unapt also bear torment so long.

Before streak aches badly in the evening, sleep the quilt is kicked want by painful wake, after becoming an operation now with respect to indolence, can walk normally again!

(the operation undertakes in)

(fruit of patient operation aftereffect)

Actually, all sorts of serious Mu evaginate patients are encountered in regular meeting of outpatient service classics.

Mu evaginate calls Gu of beetle-crusher bone, foot abduct again, it is to show big toe tilts outwards be more than physiology angle symptom of 15 degrees a kind of deformation.

Mu evaginate is the commonnest pathological changes of drag in foot, see more at in senile woman, because wear a shoe,its are commonly undeserved, genetic element, congenital deformation, traumatic, the circumstance such as rheumatoid arthritis causes.

Expression is the articulatory dislocation that is located in big toe bottom, cause big toe outside side is curved, sole ministry broadens before, beetle-crusher foot is outward and deflective, can squash other toe, those who cause other toe is deflective, ride cross.

Often handle outward side in joint of foot of the first Zhi because of foot deflective, articulatory inside appears apparent bone go to live in the household of one's in-laws on getting married is protuberant.

Parenchyma of place of go to live in the household of one's in-laws on getting married of bone of a few patients squashs because of sufferring shoe for a long time to chafe and appear red, accumulate fluid, call Mu pocket phlogistic.

Meeting generation is apparently right now aching, when the aching feeling aggravate of whole sole, will make the patient cannot wear shoe, serious person cannot walk normally, bring about daily life and pace to ambulate to get all right very big impact.

The pathology with Mu phlogistic bursa changes reduce:

① evaginate, zhi foot is articulatory half dislocation;

② varus of the 1st Zhi, bursa is phlogistic;

③ the 2nd, 3 Zhi bone is in callus;

The 2nd foot shows ④ weight state toe;

⑤ osteoarthritis of joint of foot of the 1st Zhi.

Mu evaginate is a kind of common disease, can affect above all beautiful, also can bring to the patient next a lot of and unwell, cause a variety of complication even, affect the job and life, menace is healthy. If appeared Mu evaginate, must cure of as soon as possible.

1, conservative cure

Feasible to a few only and unbalanced and lighter without symptom or symptom patients conservative cure, for example: Apply medicine, wear correctional implement, sufficient flesh takes exercise, wear puncture of comfortable shoe, painful ministry to discharge fluid, local close will alleviate ache.

But because the skeleton of human body produces configuration to change,Mu evaginate is, do not have particularly good conservative treatment method up to now, blame operation therapeutics applies to inchoate pathological changes merely, ache is lighter person.

2, operation cure

If guard cure to cannot alleviate symptom, deformation is serious and intercurrent already slippery bursa is phlogistic person, need operation travel surgery correctional evaginate. At present the operation method of evaginate of whole world Mu already reported have 200 a variety of, roughly but reduce 5 kinds:

① parenchyma operation: Basically will receive flesh to be cut off in the dead centre of close section phalange, move the sural side that is located in bone of the 1st Zhi, it is a delegate with McBride operation;

② bone resection: Excise partial skeleton, the parenchyma of crimple is flabby, remove the symptom has Mayo operation and Keller operation commonly usedly;

③ is correctional osteotomy of varus of bone of the 1st Zhi, or at the same time applying parenchyma operation is mixed (or) bone resection;

④ art of confluence of joint of foot of the 1st Zhi;

Operation of ⑤ small cut.

(editor Anne. The first people of city of state of picture origin Chen hospital)