PDF(Pubmed)
Abstract：
UNASSIGNED: Idiopathic congenital talipes equinovarus (CTEV) is one of the most extensively researched topics for decades. It has been associated with various musculoskeletal anomalies which maybe bony, vascular or involving the ligaments and muscles which may have a direct or indirect impact on its pathoanatomy. This report describes an unusual presentation of a bifid tibialis anterior tendon (TAT) in a case of CTEV. This is the first report of this kind in the literature to the best of our knowledge.
UNASSIGNED: A 4-year-old female presented with bilateral relapsed CTEV with dynamic supination previously treated with standard Ponseti protocol. The patient was treated with TAT transfer on the left side with a rare presentation of a bifid TAT where both the slips of the tendon were transferred to dorsum of the foot onto the lateral cuneiform.
UNASSIGNED: When treating a patient of CTEV surgically, it is important to consider the possibility of a bifid TAT which is a rare musculoskeletal association. It is recommended to carefully dissect TAT to prevent under correction of the deformity in case either one of the tendon slips remains attached to its original site.
UNASSIGNED: A 4-year-old female presented with bilateral relapsed CTEV with dynamic supination previously treated with standard Ponseti protocol. The patient was treated with TAT transfer on the left side with a rare presentation of a bifid TAT where both the slips of the tendon were transferred to dorsum of the foot onto the lateral cuneiform.
UNASSIGNED: When treating a patient of CTEV surgically, it is important to consider the possibility of a bifid TAT which is a rare musculoskeletal association. It is recommended to carefully dissect TAT to prevent under correction of the deformity in case either one of the tendon slips remains attached to its original site.
摘要：
■特发性先天性马蹄内翻足（CTEV）是数十年来研究最广泛的课题之一。它与各种肌肉骨骼异常有关，可能是骨骼异常，血管或涉及可能对其病理解剖学有直接或间接影响的韧带和肌肉。本报告描述了CTEV病例中胫骨前肌腱（TAT）的异常表现。据我们所知，这是文献中的第一份此类报告。
■一名4岁女性患者出现双侧复发性CTEV伴动态旋光，先前接受标准Ponseti方案治疗。患者在左侧接受了TAT转移治疗，罕见地出现了双裂TAT，其中肌腱的两个滑移都转移到了外侧楔形文字上的脚的背侧。
■在手术治疗CTEV患者时，重要的是要考虑双歧TAT的可能性，这是一种罕见的肌肉骨骼关联。建议仔细解剖TAT，以防止畸形的矫正，以防其中任何一条肌腱滑脱仍附着在其原始部位。
■一名4岁女性患者出现双侧复发性CTEV伴动态旋光，先前接受标准Ponseti方案治疗。患者在左侧接受了TAT转移治疗，罕见地出现了双裂TAT，其中肌腱的两个滑移都转移到了外侧楔形文字上的脚的背侧。
■在手术治疗CTEV患者时，重要的是要考虑双歧TAT的可能性，这是一种罕见的肌肉骨骼关联。建议仔细解剖TAT，以防止畸形的矫正，以防其中任何一条肌腱滑脱仍附着在其原始部位。
