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.].

中文翻译：

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跖内收肌当前概念的回顾。


跖内收 (MA) 是最常见的先天性足部畸形，涉及前足在跗跖关节处内收，后足排列正常。早期诊断很重要，因为如果在 9 个月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。目前严重或僵硬畸形的护理标准包括初级保健医生将其转诊给专家，通过石膏和夹板进行治疗。最近，一些矫形器已被证明与石膏具有同等的有效性，并且可能允许初级保健医生无需转诊即可治疗 MA。在这篇综述文章中，我们概述了 MA 并讨论了诊断和治疗。我们还讨论了新颖的设备，并提出了它们如何影响未来严重和僵硬的 MA 的管理。 [小儿安。 2024；53(4)：e152-e156。]。