ʻO Metatarsus adductus

ʻO Metatarsus adductus kahi hemahema o ka wāwae. Kulou nā iwi i ka hapa mua o ka wāwae a huli i ka ʻaoʻao o ka manamana nui.

Manaʻo ʻia ʻo Metatarsus adductus e ke kūlana o ke pēpē i loko o ka ʻōpū. Pākuʻi ʻia paha nā pilikia:

• Ua kuhikuhi ʻia ka lalo o ka pēpē i lalo i ka ʻōpū (breech position).
• He kūlana ko ka makuahine i kapa ʻia ʻo oligohidamnios, kahi i hana ʻole ai ʻo ia i ka wai amniotic i lawa.

Aia paha he moʻolelo ʻohana o kēia ʻano.

ʻO Metatarsus adductus kahi pilikia maʻamau. ʻO ia kekahi o nā kumu e hoʻomohala ai ka poʻe i "in-toeing."

ʻO nā keiki hānau hou me ka metatarsus adductus he pilikia paha kekahi i kapa ʻia ʻo developmental dysplasia o ka pūhaka (DDH), i ʻae ai e heʻe ka iwi o ka ʻūhā i waho o ka ʻūhā.

Kūlou a kihi ʻia paha ka mua o ka wāwae i waenakonu o ka wāwae. ʻO ka hope o ka wāwae a me nā kuʻekuʻe wāwae he maʻamau. Ma kahi o ka hapalua o nā keiki me ka metatarsus adductus i loaʻa kēia mau hoʻololi i nā wāwae ʻelua.

('Okoʻa ka pilikia ma ka wāwae o ka club. Kuhikuhiʻia ka wāwae a huli ka kuʻekuʻe.)

Hiki ke ʻike ʻia ka Metatarsus adductus me kahi hōʻike kino.

Pono e hana i kahi hoʻokolokolo pono o ka ʻūhā e kāpae i nā kumu ʻē aʻe o ka pilikia.

ʻAʻole makemake iki ʻia ka lapaʻau ʻana no ka addatus metatarsus. I ka hapanui o nā keiki, hoʻoponopono ka pilikia iā ia iho i ko lākou hoʻohana maʻamau ʻana i ko lākou mau wāwae.

I nā hihia kahi e noʻonoʻo ʻia ai ka mālama ʻana, pili ka hoʻoholo i ka paʻa o ka wāwae ke hoʻāʻo ka mea mālama ola e hoʻoponopono iā ia. Inā maʻalahi ka wāwae a maʻalahi hoʻi e hoʻopololei a neʻe paha i kahi ʻaoʻao ʻē aʻe, ʻaʻohe pono e pono ai. E nānā pinepine ʻia ke keiki.

ʻAʻole hihia ʻo In-toeing i ke keiki e lilo i ʻaʻa i hope i ke ola. I ka ʻoiaʻiʻo, nui nā sprinters a me nā mea pāʻani i loaʻa i ka manamana wāwae.

Inā hoʻomaikaʻi ʻole ka pilikia a ʻaʻole lawa paha ka wāwae o kāu keiki, e hoʻāʻo ʻia nā ʻano lāʻau ʻē aʻe.

• Pono paha e hoʻonui i nā hoʻoikaika kino. Hanaʻia kēia mau mea inā hiki ke neʻe maʻalahi i ka wāwae i kahi kūlana maʻamau. E aʻo ʻia ka ʻohana pehea e hana ai i kēia mau hoʻomaʻamaʻa ma ka home.
• Pono paha kāu keiki e komo i kahi kāmaʻa splint a i ʻole kāmaʻa kūikawā i kapa ʻia he kāmaʻa hope loa, no ka hapanui o ka lā. Mālama kēia mau kāmaʻa i ka wāwae i ke kūlana kūpono.

Kākaʻikahi, pono i kāu keiki e hoʻolei i ka wāwae a me ka wāwae. ʻOi aku ka maikaʻi o nā helu ke kau ʻia ia ma mua o ka piha ʻana o kāu keiki i 8 mau makahiki. E loli paha ka pahu i kēlā me kēia 1 a 2 mau pule.

ʻAʻole makemake iki ʻia ke ʻoki. ʻO ka hapa nui o ka manawa, e hoʻopaneʻe kāu mea hāʻawi i kāu kaha a hiki i waena o 4 a 6 mau makahiki o kāu keiki.

Pono e pili i kahi kauka lapaʻau pediatric orthopedic i ka mālama ʻana i nā deformities ʻoi loa.

ʻO ka hopena ua aneane maikaʻi loa. Aneane e loaʻa i nā keiki āpau ka wāwae e holo pono ana.

Hiki i kahi helu liʻiliʻi o nā pēpē me ka metatarsus adductus ke loaʻa i ka dislocation developmental o ka ʻūhā.

Kāhea i kāu mea hāʻawi inā hopohopo ʻoe i ka helehelena a i ʻole ka maʻalahi o nā wāwae o kāu pēpē.

Metatarsus varus; Varco paʻa wāwae; In-manamana nui

• ʻO Metatarsus adductus

Deeney VF, Arnold J. Orthopedics. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 22.

ʻO Kelly DM. ʻO nā anomalies kūpona o ka palena haʻahaʻa. I: Azar FM, Beaty JH, eds. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 29.

ʻO Winell JJ, ʻo Davidson RS. Ka wāwae a me nā manamana wāwae. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 694.