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Idiopathic Adolescent Miserable Malalignment

delete2025-12-01
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OA
AI
C
Chloe Farnham
M
Marco Gupton
M
M. Allen *
DOI：10.1016/j.jposna.2025.100301delete
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摘要

摘要

En 中文
Miserable malalignment syndrome (MMS)，以股骨前倾角增大和胫骨外旋为特征，是青少年疼痛和功能障碍的一个常被忽视的原因。与神经肌肉疾病或复发性髌股不稳定性相关的扭转异常不同，特发性MMS通常被认为良性，尽管有证据表明其存在显著生物力学和临床影响。这些影响包括前膝和髋部疼痛、步态力学改变、髌股不稳定以及可能导致退行性关节改变。本综述强调了将特发性青少年MMS识别为临床相关疾病的重要性，并提供了一个评估、管理和未来研究的框架。关键概念：（1）Miserable malalignment syndrome (MMS)的特征是股骨前倾角增大和胫骨外旋并存，导致的功能障碍比单一畸形更严重。（2）特发性青少年MMS常被忽视和 undertreated，但它可引起髋部和膝部疼痛、步态问题、髌股不稳定以及退行性改变风险增加。（3）准确诊断依赖于全面的体格检查、步态分析和先进的影像学技术，如计算机断层扫描、磁共振成像和二维/三维低剂量放射摄影。（4）股骨和/或胫骨的去旋转截骨术可显著改善疼痛、功能和生物力学，尽管标准化治疗指南和长期结局数据仍有限。
Keyword:
Pediatric orthopaedics
Lower extremity orthopaedic surgery
Rotational osteotomy
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期刊

J
Journal of the Pediatric Orthopaedic Society of North America
IF:
0
论文数:
115
被引数:
0

机构

A
Augusta University
学者数:
5.9K
论文数: 4.6K
被引数: 8.2K
U
university system of georgia
学者数:
7.3W
论文数: 6.6W
被引数: 101
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