{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1818","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1818","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[{"id":"31b47012985b11e8972100163e0462f1","isDel":0,"createAt":1533437752128,"createBy":"6cf36e0b8ef511e8972100163e0462f1","createName":"思无邪","updateAt":0,"updateBy":null,"updateName":null,"applyId":"1083ce02985b11e8972100163e0462f1","userId":"6cf36e0b8ef511e8972100163e0462f1","webType":0,"barId":"1818","status":0,"forumUser":{"id":"6cf36e0b8ef511e8972100163e0462f1","isDel":0,"createAt":1532404538078,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"思无邪","password":"prq13579","level":0,"nickName":"思无邪","realName":null,"signName":"用舍之权在人 而行藏之道在我 身可隐 而不可屈 道可潜 而不可枉","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"451542024@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1}}],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":1,"totalPage":1,"totalRow":1},"metaSearch":{"description":"为您提供:拇外翻早期症状_拇外翻是什么症状_拇外翻有哪些症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"拇外翻早期症状_拇外翻是什么症状_拇外翻有哪些症状","title":"拇外翻早期症状_拇外翻是什么症状_拇外翻有哪些症状","channels":null},"data":{"list":[{"id":"24431","isDel":0,"createAt":1545725908320,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"大母脚趾骨头突出","content":"

如果你的症状是脚拇趾向外撇、根部向内收、在根部长出一个大鼓包，那就是拇外翻，是骨关节科常见的一个疾病，它是固定性、进行性发展的疾病，想要根治的话最后都是要手术的。患者往往会在一段时间内出现拇囊炎，就是拇外翻的一个并发症。会有局部的疼痛、炎症，皮肤会出现溃烂、感染。

\"大母脚趾骨头突出\"

轻度的患者可以先用保守治疗，比如平时尽量选择前足比较宽松的休闲鞋、布鞋、运动鞋，常用热水泡脚缓解软组织痉挛，戴矫正器、分趾器，有机会多活动按摩脚趾，这样可以暂时缓解疼痛、控制拇囊炎、防止脚进一步的加重。但是脚的畸形还是存在。

\"大母脚趾骨头突出\"

严重的患者如果长期不治疗脚会不断地加重、逐步畸形引起锤状趾、交叉趾，穿鞋的时候在背侧、脚底掌出现胼胝体的疼痛，脚底板出现硬茧子，就像是骨头里有石头子顶着，病人是步履艰难。手术的话分为大切口手术和微创手术，大切口常用就有七八种，一般要做硬膜外麻醉，术后病人卧床休息三周左右再做二次手术，会有感染的风险，风险比微创是大一些。微创的优良率是非常高。对医生的技术要求比较高，一般是有做大切口手术经验的医生才能学习，术后第二天就能穿术后支具鞋下地如厕，手术创口小恢复快，合并症少，做完还比较美观，更受患者的欢迎。

\"大母脚趾骨头突出\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1955,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545725908321,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545725908321,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24411","isDel":0,"createAt":1545638993370,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"大脚骨走路疼","content":"

大脚骨就是我们说的拇外翻，是骨关节科常见的疾病，患者除了脚不美观之外还会有局部的疼痛、炎症，因为拇趾内侧的脱位长期穿鞋磨脚就会依次使皮肤、皮下组织关节囊、骨膜出现慢性的炎症、会有溃烂、感染的情况，这就是拇外翻（大脚骨）的一个并发症拇囊炎。

\"大脚骨走路疼\"

严重的患者长期不治疗拇趾会不断向外偏移，挤压第二趾，使第二趾抬高，位于拇趾之上，形成锤状趾、交叉趾。第二趾上方皮肤由于穿鞋的摩擦增厚，或形成溃疡。拇趾根部内侧突出，皮肤增厚、压痛。出现滑囊炎时局部肿胀、发红，压痛明显。因足的负重点改变，足掌受压，皮肤增厚、疼痛。晚期第一跖趾关节出现骨性关节炎，活动受限，疼痛加重，行走受到影响。

\"大脚骨走路疼\"

建议你平时选择前足比较宽松的休闲鞋、布鞋，运动的时候一定要穿运动鞋，并常用热水泡脚缓解软组织痉挛，带矫正器、分趾器防止脚进一步加重，一有机会就多活动、按摩脚趾，赤脚在沙地行走锻炼足肌，练习用脚趾抓东西。如果是重度患者或者是保守治疗效果不太好的话就尽早手术治疗。

\"大脚骨走路疼\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1857,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545638993371,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545638993371,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24375","isDel":0,"createAt":1545453112953,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"拇指外翻带来的危害","content":"

拇外翻是骨关节科常见的一个疾病，是固定性的、进行性发展的疾病。它有一个叫拇囊炎的并发症，患者往往会有局部的疼痛、炎症，会影响患者的活动。因为患者拇指内侧的脱位，第一跖骨的内翻，长时间穿鞋就会对脚趾造成摩擦、挤压，依次使皮肤、皮下组织关节囊、骨膜出现一个慢性的炎症，会有溃烂、感染的现象，有时候会有急性的疼痛，走路的时候更疼。

\"拇指外翻带来的危害\"

严重的患者长时间不治疗脚会不断地加重、逐步畸形，引起锤状趾、交叉趾，穿鞋的时候在背侧、脚底掌出现胼胝体的疼痛，在脚底板出现硬茧子，就像骨头里有石头子顶着，这时候病人可以说是步履艰难。

患者多数是在青年时期形成的，中老年患者在预防方面主要是防止畸形加重，延缓骨性关节炎的发生。拇外翻病人，穿鞋要宽松，鞋垫要垫厚，减少对脚趾的摩擦和刺激。经常用温水泡脚，按摩脚趾能改善血液循环。经常充分活动脚趾增强关节软骨的营养及足内肌的肌力，能防止关节软骨损伤，延缓骨性关节炎的发生。

\"拇指外翻带来的危害\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

\"拇指外翻带来的危害\"

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1772,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1545453112954,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1545453112954,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24169","isDel":0,"createAt":1544413566012,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"怎么判断脚拇指外翻","content":"

如果你的大拇指向外撇、根部向内舒、在根部长出一个大鼓包，使前足就像一个三角形的大蛇头，这就是拇外翻（大脚骨），北京人经常叫脚觚拐。它是骨关节科常见的一个疾病，是固定性、进行性发展得，所以一旦患上拇外翻最后都是要手术治疗的。

\"怎么判断脚拇指外翻\"

患者除了脚不好看以外还会有局部的疼痛、炎症。因为脚拇指内侧的脱位、经常穿鞋使脚趾受到摩擦、挤压，出现皮肤、皮下组织关节囊的一个无菌性炎症，造成一个红肿热痛，就叫拇囊炎，影响患者行走。严重的患者长期不治疗会逐步的畸形，引起锤状趾、交叉趾，穿鞋的时候在背侧、脚底掌出现胼胝体的疼痛，病人这时候可以说是步履艰难。

\"怎么判断脚拇指外翻\"

轻度的患者建议平时尽量选择前足比较宽松的休闲鞋、布鞋，运动的时候一定要穿运动鞋，常用热水泡脚缓解软组织痉挛，戴矫正器、分趾器，有机会多活动按摩脚趾，赤脚在沙地行走锻炼足肌。通过这些暂时缓解疼痛、控制拇囊炎、防止脚进一步加重。效果不好的话建议尽早手术治疗（骨骼闭合以后）。

\"怎么判断脚拇指外翻\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2173,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1544413566013,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1544413566013,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"23654","isDel":0,"createAt":1543460212040,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":1543479110065,"updateBy":"94a09e478ef511e8972100163e0462f1","updateName":"毛主任","userId":"94a09e478ef511e8972100163e0462f1","title":"大脚骨拇外翻危害","content":"

拇外翻（大脚骨）是骨关节科常见的疾病，它是固定性、进行性发展的疾病，一旦患上拇外翻最后都需要手术治疗。患者除了脚不美观还会有局部的疼痛，不治疗会不断地加重。

\"大脚骨拇外翻危害\"

因为患者第一跖骨的内翻，拇趾内侧的脱位，长时间穿鞋对脚趾造成的挤压、摩擦，依次使皮肤、皮下组织关节囊、骨膜出现炎症，皮肤可出现溃疡、感染。就会影响患者行走。长时间不治疗拇指外翻会不断的加重，逐步畸形，形成锤状趾、交叉趾。穿鞋的时候在背侧、脚底掌出现胼胝体的疼痛，在脚底板出现硬茧子，就像是骨头里有石子顶着一样，患者可以说是步履艰难。

\"大脚骨拇外翻危害\"

所以肯定是要治疗的，轻度的患者可以先用保守缓解疼痛、控制拇囊炎，防止脚进一步加重，但是脚的畸形还是存在，并不能矫正。一些暂时没时间手术或者是骨骼还没有闭合不能做手术的青少年可以先采用。手术分为传统大切口和微创，大切口手术的创口大恢复慢，一般要做内固定、打钢板、钢钉，术后病人卧床休息三周左右还要做二次手术，风险要比微创大一些。微创一般是有大切口手术经验的医生才能学习，手术优良率非常高，合并症少，创口小恢复快。具体做哪种手术要看你自身的情况选择适合自己的。

\"大脚骨拇外翻危害\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1835,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1543460212041,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1543460212041,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"23569","isDel":0,"createAt":1543373627793,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"拇指外翻会不会疼","content":"

拇指外翻的患者都会与局部的疼痛和炎症，因为第一跖骨的内翻、拇指内侧的肿胀，长时间穿鞋对脚趾造成挤压、摩擦，依次使皮肤、皮下组织关节囊、骨膜出现慢性的炎症，有时候会有急性的疼痛，走路的时候会更疼。严重的患者长时间不治疗会引起锤状趾、交叉趾，穿鞋的时候会在背侧、脚底掌出现胼胝体的疼痛，使患者活动受限、步履艰难。

\"拇指外翻会不会疼\"

轻度的患者可以用保守治疗缓解疼痛，平时尽量选择前足比较宽松的休闲鞋、布鞋、运动鞋，鞋跟在2-4厘米。并常用热水泡脚缓解软组织痉挛，一有机会就多活动、按摩脚趾，赤脚在沙地行走锻炼足肌，用矫正器、分趾器，通过这些缓解疼痛、控制拇囊炎、防止脚进一步加重。也比较适合一些暂时没时间手术的患者或者是骨骼还没有闭合不能做手术的青少年。

\"拇指外翻会不会疼\"

拇外翻目前想要根治只能通过手术治疗，手术分为大切口手术和微创手术，大切口手术常用的有七八种，一般是要做腰麻、灌肠，内固定、打钢板，术后病人卧床休息三周左右还要二次手术，会有感染的风险，恢复时间比较长。微创的手术只要十几分钟，术后优良率非常高、合并症少，恢复的快，做完也比较美观，很受患者欢迎。

\"拇指外翻会不会疼\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2027,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1543373627794,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1543373627794,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"22816","isDel":0,"createAt":1542426834290,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":0,"updateBy":null,"updateName":null,"userId":"94a09e478ef511e8972100163e0462f1","title":"脚拇指外翻脚痛怎么办","content":"

脚拇指外翻就是我们常说的拇外翻（大脚骨），患者会有局部的疼痛、炎症。因为拇趾内侧的脱位，长期穿鞋磨脚就会使皮肤、皮下组织关节囊、骨膜出现慢性的炎症，有时候就会有急性的疼痛，走路的时候更疼。

\"脚拇指外翻脚痛怎么办\"

轻度的患者可以先用保守治疗缓解疼痛，平时尽量穿前足比较宽松的休闲鞋、布鞋，常用热水泡脚缓解软组织痉挛，带矫正器、分趾器，赤脚在沙地行走锻炼足肌。但是脚的畸形还是存在，还会不断加重。

\"脚拇指外翻脚痛怎么办\"

严重的患者如果长时间不治疗脚会逐步畸形，引起锤状趾、交叉趾，使患者活动受限。建议尽早手术治疗。具体是做传统大切口手术还是微创手术要看你自身的情况选择。

\"脚拇指外翻脚痛怎么办\"

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1934,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1542426834291,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1542426834291,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"22611","isDel":0,"createAt":1542162962439,"createBy":"94a09e478ef511e8972100163e0462f1","createName":"毛主任","updateAt":1542163060605,"updateBy":"94a09e478ef511e8972100163e0462f1","updateName":"毛主任","userId":"94a09e478ef511e8972100163e0462f1","title":"拇外翻疼吗","content":"

拇外翻患者是会有局部的疼痛、炎症，因为拇趾内测脱位，长期穿鞋磨脚会依次从皮肤、皮下组织关节囊、骨膜出现一个慢性、机械性的炎症，有时候可以出现急性的疼痛，疼痛主要在拇趾的内侧，走路的时候更疼。

\"拇外翻疼吗\"


要是重度患者长期不治疗，脚会逐渐畸形引起锤状趾、叠趾，骑跨其他的趾头，引起病人穿鞋的时候在背侧或者脚底掌出现胼胝体的疼痛，就像是骨头里面有石子顶着，病人这时候是步履艰难。

\"拇外翻疼吗\"


建议你平时可以穿前足比较宽松的休闲鞋、布鞋，多活动、按摩脚趾，赤脚在沙地行走锻炼足肌，经常用热水泡脚，带矫正器缓解疼痛，如果效果不好就尽早到医院接受手术治疗。

上述内容是在温建民教授主讲的《拇外翻解密》上学到的内容通俗易懂，淘宝就可以买到。目前只能在电脑上看，建议你看一下。

\"拇外翻疼吗\"

近期温建民教授将在850820586 这个Q群内免费为患者解答一些问题，有需要可以进群咨询。


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1813,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1542162962440,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1542162962440,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"94a09e478ef511e8972100163e0462f1","isDel":0,"createAt":1532404604646,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"毛主任","password":"Ai15235997443","level":0,"nickName":"毛主任","realName":null,"signName":"尽自己所能帮助大家了解医疗上的知识","head":null,"phone":"13201877965","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"16282","isDel":0,"createAt":1534231352124,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"拇外翻角度","content":"

拇外翻角度怎么解释？很多患者都不知道对于角度怎么讲，在本文中，找良医网带大家一起来学习一下拇外翻的角度：

\"???????-??.jpg\"/ 

其实，正常人应该在15度以内，这个15度以内，第一跖骨，跟第二跖骨，我们也叫，IMA角，大概是在9度以内，超过这个9度的，也往往出现拇外翻，大家看，第一跖骨的轴线，第二跖骨的轴线，这个角度，一般来讲是在9度左右，这个是在9度左右，如果拇趾的倾斜度超过这个15度，第一跖骨之间也超过9度，那么你可以诊断是拇外翻。

 

往往这个时候合并有，拇囊炎疼痛，那么，我们在临床上就可以诊断，这个拇外翻，这是一个，另外一个也有现在我们有些角度也有，什么IMA角度，近端关节的固定角，远端关节的固定角，还有，这个角度那个角度，都很多角度，但是这两个角度是主要的，大家记得一个15，一个9度以内，但是，他有时候不是绝对的，极少部位的病人，它的角度没有超过15度，照样出现拇外翻，主要是他第一跖骨头的内侧，发育有问题，太大或者有籽骨，或者我刚才讲的有些后天有痛风，风湿类的疾病，这都可以 也可以，但是正常来讲，我们一般认为是这两个。

 \"?????????.JPG\"/

上述内容摘抄自《拇外翻解密》，作者是温建民教授，该知识点通俗易懂，在淘宝就可以买到。近期温建民教授将在850820586这个Q群内帮助解答患者问题，有需要帮助的可以进群咨询！


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2023,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1534231352124,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1534231352124,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"16277","isDel":0,"createAt":1534228345891,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"拇外翻症状","content":"

你知道拇外翻症状都有哪些吗？在本文中，找良医网带你详细了解一下拇外翻症状有哪些，一起来看一下吧：

 

第一个就是疼痛，除了外观不好看以外，他主要是以拇趾的内侧脱位，脱位后磨鞋帮，依次从皮肤皮下组织关节囊、骨膜的一个慢性的、机械性的一个炎症，有时候可以出现急性的一些疼痛，疼痛主要是在拇趾的内侧，走路的时候疼痛更痛，病人都说是一剜一剜的疼，一跳一跳的疼。

 \"拇外翻解密\"

第二个是逐步的畸形，你要是重度拇外翻的病人，长期不治疗的话，它可以引起锤状趾叠趾，还有就是其他的，骑跨其他的趾头，压了别的趾头，交叉趾，引起了病人穿鞋的时候，在背侧或者脚底掌出现，胼胝胼胝体的疼痛，病人这时候是步履艰难。

 

第三个就叫胼胝体疼痛，胼胝体可以出现在两个，一个在背侧，就是当你出现锤状趾，交叉趾叠趾的时候，他在关节这块磨了鞋帮，还有个在脚底板，脚底板底下出现硬茧子，疼痛，有的病人就说就像骨头里有个石头子一样，顶着他的脚底板。

 

\"拇外翻解密\"


上述内容摘抄自《拇外翻解密》，作者是温建民教授，该知识点通俗易懂，在淘宝就可以买到。近期温建民教授将在850820586这个Q群内帮助解答患者问题，有需要帮助的可以进群咨询！


","barId":"1818","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1760,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1534228345892,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1534228345892,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"16245","isDel":0,"createAt":1534149634575,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1534149654112,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"轻度拇外翻","content":"

 

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拇外翻临床上分为、轻、中、重三种，轻度，就用角度来讲，拇外翻脚在20度以内，跖骨间角，叫做IMA角，在13度以内，当所谓单纯的踇外翻，你看这个单纯拇外翻，它合并有，会合并有这块的疼痛，合并踇囊炎，在这疼，这就是一个轻度。往往年轻人都是这样，假如不治疗，这种病人可变成中度拇外翻，中度拇外翻是角度到20度以上到40度以内，这个IMA角呢是在13度到16度之间，这是中度的拇外翻，这可以说合并是什么，合并有跖骨头下疼痛，就是有趾痛症，跖骨痛，以及锤状趾，还有叠趾，这个脚有时候叠过来，这就是中度的。

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 \"???????-??.jpg\"

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这往往都是轻度不治疗发展过来的，但是再不治疗的话，就变成重度了，重度的时候就，我们拇外翻角，往往这是要大于40度，IMA角大于16度，而且往往合并有，锤状趾、叠趾、交叉趾、爪型趾、胼胝低，这一个符合这畸形，往往一般来讲，年轻的时候不治，到中年有可能成中度，中年以后不治以后，老年就是重度的，他是一个疾病的不同时期，不同年龄的发展过程，所以一般临床上我们也分为轻、中、重，早期的话，可能早期治比较简单，后期的晚期这个就比较麻烦。

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上述内容是在温建民教授主讲的《拇外翻解密》上学到的，内容通俗易懂，淘宝就可以买到。近期温建民教授将在850820586 这个Q群内帮助解答患者问题，有需要帮助的可以进群咨询！

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拇外翻女性朋友们应该很熟悉，那么得了拇外翻现象有哪些呢？也就是说拇外翻有什么症状呢？我们一起了解一下。

 

\"拇指外翻现象\"


第一、疼痛，除了外观不好看以外，它主要是以拇趾的内侧后磨鞋帮依次从皮肤皮下组织、关节囊、骨膜的一个慢性的、机械性的炎症，有时候可以出现急性的一些疼痛，主要是在拇趾的内侧，走路的时候疼痛更痛，很多人都说是一剜一剜的疼，一跳一跳的疼。

 

第二、逐步的畸形，如果是重度拇外翻的病人，你要长期不治疗的话，它可以引起锤状趾、叠趾，还有就是其他的骑跨、其他的趾头压了别的趾头、交叉趾，引起了病人穿鞋的时候，在背侧或者脚底掌出现胼胝体的疼痛，病人这时候是步履艰难的。

 

第三、胼胝体疼痛，胼胝体可以出现两个，一个在背侧就是当你出现锤状趾、交叉趾、叠趾的时候，他在关节这块磨了鞋帮，另一个在脚底板，脚底板底下出现硬茧子，会很疼痛，有的病人就说骨头像是有个石头子一样顶着他的脚底板。


\"拇外翻交流群\"

 

截图源自于温建民教授的《拇外翻解密》多媒体课件，淘宝上就可以买到的，但是只能在电脑上看，希望可以帮助到大家。


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脚大拇指外翻症状都有哪些表现呢？接下来我给大家详细讲解下：

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第一就是疼痛，除了外观不好看以外，他主要是以拇趾的内侧脱位，脱位后磨鞋帮，依次从皮肤皮下组织关节囊、骨膜的一个慢性的、机械性的一个炎症，有时候可以出现急性的一些疼痛，疼痛主要是在拇趾的内侧，走路的时候疼痛更痛，病人都说是一剜一剜的疼，一跳一跳的疼，另外一个逐步的畸形。

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你要是重度拇外翻的病人，长期不治疗的话，它可以引起锤状趾叠趾，还有就是其他的，骑跨其他的趾头，压了别的趾头，交叉趾，引起了病人穿鞋的时候，在背侧或者脚底掌出现，胼胝胼胝体的疼痛，病人这时候是步履艰难，第三个就叫胼胝体疼痛，胼胝体可以出现在两个，一个在背侧，就是当你出现锤状趾，交叉趾叠趾的时候，他在关节这块磨了鞋帮，还有个在脚底板，脚底板底下出现硬茧子，疼痛，有的病人就说就像骨头里有个石头子一样，顶着他的脚底板。

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\"脚拇指外翻症状\"

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上图是温建民教授写的《拇外翻解密》，希望能帮到更多的患者，同时拇外翻总群成立，温建民教授也会定期在群里为大家免费解答疑惑，患者或者患者家属也可以在群里互相讨论，全程不收取任何费用哦。

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\"脚拇指外翻症状\"

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   1.足拇趾外翻畸形，局部疼痛、影响行走，出现囊炎，局部可溃烂、感染。

    2.足拇趾外翻、旋转畸形。第二趾朝背面挤出，形成锤状趾。前足变宽。

    3.第二、三跖骨头跖面皮肤因负重加大，形成胼胝。

    4.第一跖趾关节突出部皮肤增厚，甚至红肿产生足拇囊炎。 


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   拇外翻即拇趾向外侧倾斜。约有一半病人有遗传史，家族中发病率较高，但有很多病人是由于年青时穿高跟鞋或穿鞋过小，过瘦造成的。

    拇趾外翻畸形后会导致足的一系列病理改变。拇外翻后会导致第一跖骨内翻，足掌前部增宽。足的负重点发生改变，足部常感疲劳。由于第一跖骨内翻，第一跖骨头常受到摩擦、挤压等刺激，形成骨赘，表面形成假性滑囊。皮肤增厚，形成胼胝体。因常受到持续性摩擦作用，会出现滑囊炎，皮肤可出现溃疡、感染。这时，疼痛较重，影响行走。拇趾外翻畸形不断加重，会出现第一跖趾关节半脱位及骨性关节炎。这时，关节软骨破坏，骨质增生，关节间隙变窄，导致关节功能受限。这是中老年拇外翻的主要特点。

    拇趾向外偏移，挤压第二趾，使第二趾抬高，位于拇趾之上，形成槌状趾。第二趾上方皮肤由于穿鞋的摩擦增厚，或形成溃疡。拇趾根部内侧突出，皮肤增厚、压痛。出现滑囊炎时局部肿胀、发红，压痛明显。因足的负重点改变，足掌受压，皮肤增厚、疼痛。晚期第一跖趾关节出现骨性关节炎，活动受限，疼痛加重，行走受到影响。

    x线片显示，拇趾向外偏斜，第一、二跖骨间距增大。第一跖骨头内侧形成骨赘。晚期，第一跖趾关节间隙变窄，关节周围骨质有增生。

    患者多数是在青年时期形成的，中老年患者在预防方面主要是防止畸形加重，延缓骨性关节炎的发生。有拇外翻病人，穿鞋要宽松，鞋垫要垫厚，以减少对足的摩擦和刺激。经常用温水泡脚，按摩足趾能改善血液循环。经常充分活动足趾增强关节软骨的营养及足内肌的肌力，能防止关节软骨损伤，延缓骨性关节炎的发生。


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　　有的人拇趾向外撇，而大拇趾的跟部又向内收，使得前脚象个三角形的“大蛇头”，这就是拇外翻，有的地方称为“大脚骨”或“大觚拐”。大拇根部（实际上是第一跖骨）内移后，使得该处极为隆起，容易与鞋形成摩擦，天长日久，该处皮肤和皮下有关组织增厚、红肿，滑囊形成，而产生拇囊炎。引起疼痛，局部溃烂后可造成感染，拇外翻畸形病人因为前足生物力学发生异常，很多合并有足底部胼胝（硬茧子或鸡眼）。使走路引起疼痛，病人无履可适，给工作带来不便和痛苦，而且外形美观上也缺乏美感。拇外翻畸形是足的一种常见病，始于青年，人群发病率17%，女性多于男性，比例是20：1，多为双侧发病。

　　楔骨间和跖骨间有坚强的韧带连系，但第1楔骨与第1跖骨比其他楔骨与跖骨的连系较弱。若站立过久，行走过多，经常穿高跟或尖头鞋时，第1楔骨和跖骨承受压力超过25％，促使第1跖骨向内移位，引起足纵弓和横弓塌陷，拇趾因拇收肌和拇长伸肌牵拉向外移，第1、2跖骨间的夹角加大。第1跖骨头在足内侧形成一骨赘，拇外翻逐渐加重，第2趾被拇趾挤向背侧，趾间关节屈曲，形成锤状趾。楔骨间和跖骨间有坚强的韧带连系，但第1楔骨与第1跖骨比其他楔骨与跖骨的连系较弱。若站立过久，行走过多，经常穿高跟或尖头鞋时，第1楔骨和跖骨承受压力超过25％，促使第1跖骨向内移位，引起足纵弓和横弓塌陷，拇趾因拇收肌和拇长伸肌牵拉向外移，第1、2跖骨间的夹角加大。第1跖骨头在足内侧形成一骨赘，拇外翻逐渐加重，第2趾被拇趾挤向背侧，趾间关节屈曲，形成锤状趾。

　　拇外翻作为一种疾病，虽然早期除了外观不美丽、选鞋困难及容易损坏鞋形，还没有给人们带来太多的不适症状。但是随着年龄增长，拇外翻畸形程度会加重，会产生很多严重的并发症，如拇囊炎肿,足底筋膜炎,爪形趾,鸡眼,脚垫,扁平足,横弓塌陷等,这些并发症的发生不仅影响足部功能，产生疼痛，还严重影响生活和工作。更严重的是因双脚受力不平衡引发人体负力线的改变,导致膝关节,骨盆移位,引起腰酸.背疼.颈椎不适.压迫神经等一系列疾病.因此关注双脚的健康,如稳定平衡.大厦地基一样重要,所以，建议当发现有拇外翻畸形时，最好及早防治，这样，不仅能够延缓拇外翻恶化的程度，并且可以有效地预防一些并发症的发生。


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　　拇外翻即拇趾向外侧倾斜。约有一半病人有遗传史，家族中发病率较高，但有很多病人是由于年青时穿高跟鞋或穿鞋过小，过瘦造成的。

　　拇趾外翻畸形后会导致足的一系列病理改变。拇外翻后会导致第一跖骨内翻，足掌前部增宽。足的负重点发生改变，足部常感疲劳。由于第一跖骨内翻，第一跖骨头常受到摩擦、挤压等刺激，形成骨赘，表面形成假性滑囊。皮肤增厚，形成胼胝体。因常受到持续性摩擦作用，会出现滑囊炎，皮肤可出现溃疡、感染。这时，疼痛较重，影响行走。拇趾外翻畸形不断加重，会出现第一跖趾关节半脱位及骨性关节炎。这时，关节软骨破坏，骨质增生，关节间隙变窄，导致关节功能受限。这是中老年拇外翻的主要特点。

　　拇趾向外偏移，挤压第二趾，使第二趾抬高，位于拇趾之上，形成槌状趾。第二趾上方皮肤由于穿鞋的摩擦增厚，或形成溃疡。拇趾根部内侧突出，皮肤增厚、压痛。出现滑囊炎时局部肿胀、发红，压痛明显。因足的负重点改变，足掌受压，皮肤增厚、疼痛。晚期第一跖趾关节出现骨性关节炎，活动受限，疼痛加重，行走受到影响。

　　x线片显示，拇趾向外偏斜，第一、二跖骨间距增大。第一跖骨头内侧形成骨赘。晚期，第一跖趾关节间隙变窄，关节周围骨质有增生。

　　患者多数是在青年时期形成的，中老年患者在预防方面主要是防止畸形加重，延缓骨性关节炎的发生。北京恒安中医院骨科专家认为，有拇外翻病人，穿鞋要宽松，鞋垫要垫厚，以减少对足的摩擦和刺激。经常用温水泡脚，按摩足趾能改善血液循环。经常充分活动足趾增强关节软骨的营养及足内肌的肌力，能防止关节软骨损伤，延缓骨性关节炎的发生。


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    拇外翻的主要临床表现为好发于成年人，有遗传因素者，青年时即可发生，老年时，由于足内收力减弱，拇外翻常可加重。女性多于男性。

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　　拇外翻症状最多为拇囊炎，疼痛，正常人拇趾长轴与第1跖骨长轴形成夹角，外形测量为15°～25°，称为生理性拇外翻角。倾斜到什么程度才为拇外翻，并无固定标准。在临床上应以拇外翻超过25°，挤压第2趾，第1跖骨头处有拇囊炎疼痛者，才可诊断为拇外翻。疼痛是主要的症状，也是治疗的主要依据。疼痛主要来自第1跖骨头内侧，步行时疼痛加重，有些患者第2、3跖骨跖面的胼胝疼痛。值得注意的是畸形与疼痛并不成正比，有的畸形很明显，但不痛，再者第2、3趾锤状趾及其胼胝痛，也是重要体征。

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　　2.分期 按照临床表现、X线片改变与治疗选择不同，将拇外翻分为3期。

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　　(1)早期(半脱位前期)：拇趾轻度外翻畸形，拇囊炎轻微，疼痛不重，X线片显示拇跖趾关节向外半脱位，不合并锤状趾，此期可手法搬正，非手术治疗。

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　　(2)中期(半脱位期)：拇趾明显外翻畸形，拇囊炎疼痛较重，X线片可见拇趾近节基底，自跖骨头向外侧半脱位，因拇趾向外挤压第2趾，该趾可发生锤状趾畸形，以致跖骨头下陷，并发跖骨头部胼胝，此期手法虽可搬正，但不能巩固。对于30～50岁妇女，跖趾关节外翻角在15°～25°之间，跖骨间角<12°，趾间关节角<15°，跖趾关节无退行性变，非手术治疗无效者，适于McBride等软组织手术。

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　　(3)晚期(骨关节炎期)：除拇囊炎疼痛外，跖趾关节肿胀疼痛，X线片可见跖趾关节有骨关节炎表现，此期手术治疗适于骨与软组织联合手术。

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　　拇趾外翻大于正常角度，X线片上拇跖趾关节半脱位与第1跖骨头内侧拇囊炎。第1跖骨内翻，锤状趾及胼胝，并非每例所必有。在早期拇趾可被动搬至正常位置，后期因关节囊与肌肉挛缩，则不能被动搬回到正常位。并发拇跖趾骨关节炎时已为晚期。

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