Abstract：
Metatarsus adductus (MA), the most common congenital foot deformity, involves adduction of the forefoot at the tarsometatarsal joint, with normal hindfoot alignment. Early diagnosis is important because treatment is more successful if initiated before age 9 months. Treatment of MA depends on deformity severity, in which mild to moderate deformity can be treated conservatively. Current standard of care for severe or rigid deformity involves referral by primary care physicians to specialists for management by casting and splinting. Recently, several orthoses have demonstrated equal effectiveness to casting and may allow for primary care physicians to treat MA without the need for referral. In this review article, we provide an overview of MA and discuss diagnosis and treatment. We also discuss novel devices and suggest how they may affect the future management of severe and rigid MA. [Pediatr Ann. 2024;53(4):e152-e156.].
摘要：
meta骨内收（MA），最常见的先天性足部畸形，牵涉到前足的内收，正常的后脚对齐。早期诊断很重要，因为如果在9个月大之前开始治疗会更成功。MA的治疗取决于畸形的严重程度，其中轻度至中度畸形可以保守治疗。严重或僵硬畸形的当前护理标准包括由初级保健医生转诊给专家，通过铸造和夹板进行管理。最近,几种矫形器已经证明与铸造同样有效,并且可能允许初级保健医师在不需要转诊的情况下治疗MA.在这篇评论文章中，我们提供了MA的概述，并讨论了诊断和治疗。我们还讨论了新型设备，并建议它们如何影响严重和僵化的MA的未来管理。[佩迪亚特·安。2024；53（4）：e152-e156。].
