台北中醫醫學雜誌

93.5 第二蹠趾關節脫位之中醫治療病例
第二蹠趾關節脫位之中醫治療病例
The Second Metatarsophalangeal Joint Dislocation: A Case Report
顧德茜 李科宏*
長庚紀念醫院中醫部中醫針傷科
【摘要】
第二蹠趾關節脫位在中醫屬於「脫骱」的範疇。本文中提到拇趾外翻與其相對應的解剖構造及足部生物力學,並進一步針對足部生物力學的代償機制,並探討拇趾外翻與第二蹠趾關節脫位的關聯性。跗蹠關節囊與韌帶對於維持足弓是重要的,發現雖然不是每個拇趾外翻的患者都會伴隨第二蹠趾關節脫位,但仍可合理推測兩者之間是有密切關聯性的。
【關鍵詞】
第二蹠趾關節脫位、傷科手法
 
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