台北中医医学杂志

93.5 第二蹠趾关节脱位之中医治疗病例
第二蹠趾关节脱位之中医治疗病例
The Second Metatarsophalangeal Joint Dislocation: A Case Report
顾德茜 李科宏*
长庚纪念医院中医部中医针伤科
【摘要】
第二蹠趾关节脱位在中医属於「脱骱」的范畴。本文中提到拇趾外翻与其相对应的解剖构造及足部生物力学,并进一步针对足部生物力学的代偿机制,并探讨拇趾外翻与第二蹠趾关节脱位的关联性。跗蹠关节囊与韧带对於维持足弓是重要的,发现虽然不是每个拇趾外翻的患者都会伴随第二蹠趾关节脱位,但仍可合理推测两者之间是有密切关联性的。
【关键词】
第二蹠趾关节脱位、伤科手法
 
Te-Chieh KuKo-Hung Lee*
Department of Chinese Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
Summary
The second metatarsophalangeal joint dislocation is in the category of "dislocation" in Chinese medicine. In our article, anatomy of hallux valgus and foot biomechanics are disused with metatarsalgia to further explored for the compensatory mechanism of the foot. It is importance for transmetatarsal ligaments and capsules to maintain the transverse arch. It was found that although not every patient with hallux valgus was accompanied by metatarsalgia; however,it is reasonable to speculate that there is a close relationship between them.
Keywords
metatarsalgia, traumatologic treatment