PDF(Pubmed)
Abstract：
Introduction Foot oligodactyly is usually associated with fibular insufficiency or cleft foot syndrome. A foot with a reduced number of rays may occasionally have an isolated dysplasia. Methods We reviewed the clinical notes and X-rays of six children with oligodactyly, having a normal development of the tibia and fibula. Clinical evaluation recorded the plantigrade or deviated foot, appropriate shoe wear, and aesthetic presentation of barefoot children. Radiological examination revealed missing or hypoplastic bones in the foot, the presence of other deformities, and leg length discrepancy (LLD) of the affected limb. Results On clinical evaluation, all children except one had a plantigrade foot with normal shoe wear; the lesion was not spotted in three of them unless informed of the presence of the dysplasia. Radiological examination in four of them revealed the absence or hypoplasia of the navicular, with a normal shape of the first metatarsal. Calcaneocuboid joints were normal in five of them; LLD was the main problem in three children. The girl with bilateral oligodactyly presented as a normal child. Conclusion Oligodactyly may present as an isolated dysplasia. LLD in these patients, which is less severe than in children with fibular or tibial insufficiency, is the main issue that requires surgical management in later life. Prenatal diagnosis of oligodactyly as an isolated dysplasia is an important feature for appropriate counseling of parents.
摘要：
介绍足部少指通常与腓骨功能不全或裂足综合征有关。射线数量减少的脚偶尔可能会有孤立的发育不良。方法我们回顾了6例少指畸形患儿的临床记录和X线，胫骨和腓骨发育正常。临床评估记录足足或偏足，适当的鞋子磨损，和赤脚儿童的美学表现。放射学检查发现脚骨缺失或发育不良，其他畸形的存在，和患肢的腿长差异（LLD）。结果在临床评估上，除一名儿童外,所有儿童的足部均为平足,穿鞋正常;除非被告知存在发育不良,否则其中三名儿童未发现病变.其中四人的放射学检查显示舟骨不存在或发育不全，具有正常的第一跖骨形状。其中5个跟骨关节正常；LLD是三个孩子的主要问题。双边寡头的女孩表现为正常的孩子。结论寡照体可能表现为孤立的发育不良。这些患者的LLD，不如腓骨或胫骨功能不全的儿童严重，是以后生活中需要手术管理的主要问题。产前诊断为孤立的发育不良是父母适当咨询的重要特征。
