拇趾外翻

不穿高跟鞋，也有高跟鞋病？

什麼是拇趾外翻?

正常的大腳趾原本就會有10°~15°由中軸線往外側的偏斜，而當大腳趾朝第二根腳趾靠攏，使得外偏超過這個限度，甚至跨上第二根腳趾上面，蹠骨與趾骨的偏斜角度逾30°，以及第一蹠骨和第二蹠骨間的夾角逾12°，就可以被診斷為「拇趾外翻」．

往下閱讀拇趾外翻原因和了解陳建璋醫師拇趾外翻手術前，可以選擇直接與我們預約諮詢喔！

拇趾外翻的原因？

高跟鞋當然是造成拇趾外翻的因素之一，但不是唯一。

直立行走於地面的人類，有著上帝巧妙的設計，在符合人體工學的正常狀況下，身體的重量，需要被平均的分散於整個足部，前、中、後各部的受力大致是相當的，並且隨運動狀態順序更迭變化，才能平穩地行動。然而，在錯誤的穿鞋習慣或運動狀態中，足部的前半部活動受限，沒辦法在活動的連續狀態中，順利分散力量，反而讓末端的組織同時擠壓在偏向外側的張力，久而久之，所有的構造都被拉扯變形。

舉例來說，穿著舒適的平底休閒鞋，我們的腳趾以及腳掌可以平穩的踩踏在地面上，前、中、後足部都承擔了差不多的身體重量。而靈活的腳趾，透過彼此間的緩衝構造與空間，分散掉變形的力道。而當我們改穿高跟鞋後，前足將承擔更多的身體重量，加上鞋型的設計，腳趾受到擠迫，無法舒服的伸張，肌肉的用力方式就會隨著改變，腳也就跟著變形。

如果我們將拇趾外翻比喻成脫韁的野馬，外側筋膜與韌帶錯用過度拉力，加上內側筋膜與韌帶失衡，就像拉錯方向的韁繩，而偏斜的腳趾骨、關節就是脫離軌道的馬兒，最後造成拇趾外翻。所以歸結起來的原因，主要源自三個層面：(1) 軟組織的問題(韁繩) (2) 骨骼的問題(馬兒) (3) 關節變形．
先天性因素影響每個人天生的腳型結構都不一樣，不只骨骼結構上有差異，軟組織的強韌程度也不同。根據臨床經驗與文獻紀載，扁平足、多趾症、併趾症的人，或是先天韌帶較為鬆弛的人，因為沒有完整的分散壓力機制，有較高的機率發生拇趾外翻。

後天性因素包括不良的運動行走姿勢與不正確的穿鞋習慣。很多人將拇趾外翻稱為高跟鞋病，當然不只是高跟鞋，其他楦頭較窄的鞋型，或是錯誤型號的鞋子，都容易導致拇趾外翻。同時，隨著運動健身的盛行，有為數不少的民眾，有錯誤的運動習慣與姿勢，讓腳趾不當受力，而有拇趾外翻的問題。

疾病引發造成腳足結構變形的因素，還包括了疾病．例如：類風濕性關節炎、紅斑性狼瘡等疾病，會造成關節的變形，同樣也會改變腳足受力平衡的改變，進而引發拇趾外翻．

拇趾外翻自我檢查

依據拇趾外翻偏斜的程度，治療方式也會有差異

輕度20°-30°中度30°-40°重度40°以上不同程度的變形，需要根據臨床的狀況，同時評估第一與第二腳趾以及蹠骨的變形，量身訂做治療計畫。

輕微的拇趾外翻可以透過侵入性小、較為保守的復健矯正方式來治療．不過，通常這樣的矯正方法，只具有減緩症狀的作用，而不具有效校正的作用。當拇趾外翻程度更嚴重，而有骨骼與關節變形、筋膜作用方向錯誤等問題時，仍需要藉由手術調整改善．

拇趾外翻手術方式

想要完整治療拇趾外翻，除了調整趾骨角度、變形的關節以外（馬兒），還需要同時放鬆過於緊繃的筋膜（韁繩），才能使腳趾重新穩穩地踏回地面上．

拇趾外翻手術方式除了切口大小、變形校正程度不同外，對於腳趾結構的破壞程度也不同，將影響術後的復發機率和併發症．%3Cstyle%3E%0A%09%2F%2A%20info%20%28hed%2C%20dek%2C%20source%2C%20credit%29%20%2A%2F%0A.rg-container%20%7B%0A%20%20font-family%3A%20%27Lato%27%2C%20Helvetica%2C%20Arial%2C%20sans-serif%3B%0A%20%20font-size%3A%2016px%3B%0A%20%20line-height%3A%201.4%3B%0A%20%20margin%3A%200%3B%0A%20%20padding%3A%201em%200.5em%3B%0A%20%20color%3A%20%23222%3B%0A%7D%0A.rg-header%20%7B%0A%20%20margin-bottom%3A%201em%3B%0A%20%20text-align%3A%20left%3B%0A%7D%0A%0A.rg-header%20%3E%20%2A%20%7B%0A%20%20display%3A%20block%3B%0A%7D%0A.rg-hed%20%7B%0A%20%20font-weight%3A%20bold%3B%0A%20%20font-size%3A%201.4em%3B%0A%7D%0A.rg-dek%20%7B%0A%20%20font-size%3A%201em%3B%0A%7D%0A%0A.rg-source%20%7B%0A%20%20margin%3A%200%3B%0A%20%20font-size%3A%200.75em%3B%0A%20%20text-align%3A%20right%3B%0A%7D%0A.rg-source%20.pre-colon%20%7B%0A%20%20text-transform%3A%20uppercase%3B%0A%7D%0A%0A.rg-source%20.post-colon%20%7B%0A%20%20font-weight%3A%20bold%3B%0A%7D%0A%0A%2F%2A%20table%20%2A%2F%0Atable.rg-table%20%7B%0A%20%20width%3A%20100%25%3B%0A%20%20margin-bottom%3A%200.5em%3B%0A%20%20font-size%3A%201em%3B%0A%20%20border-collapse%3A%20collapse%3B%0A%20%20border-spacing%3A%200%3B%0A%7D%0Atable.rg-table%20tr%20%7B%0A%20%20-moz-box-sizing%3A%20border-box%3B%0A%20%20box-sizing%3A%20border-box%3B%0A%20%20margin%3A%200%3B%0A%20%20padding%3A%200%3B%0A%20%20border%3A%200%3B%0A%20%20font-size%3A%20100%25%3B%0A%20%20font%3A%20inherit%3B%0A%20%20vertical-align%3A%20baseline%3B%0A%20%20text-align%3A%20left%3B%0A%20%20color%3A%20%23333%3B%0A%7D%0Atable.rg-table%20thead%20%7B%0A%20%20border-bottom%3A%203px%20solid%20%23ddd%3B%0A%7D%0Atable.rg-table%20tr%20%7B%0A%20%20border-bottom%3A%201px%20solid%20%23ddd%3B%0A%20%20color%3A%20%23222%3B%0A%7D%0Atable.rg-table%20tr.highlight%20%7B%0A%20%20background-color%3A%20%23dcf1f0%20%21important%3B%0A%7D%0Atable.rg-table.zebra%20tr%3Anth-child%28even%29%20%7B%0A%20%20background-color%3A%20%23f6f6f6%3B%0A%7D%0Atable.rg-table%20th%20%7B%0A%20%20font-weight%3A%20bold%3B%0A%20%20padding%3A%200.35em%3B%0A%20%20font-size%3A%200.9em%3B%0A%7D%0Atable.rg-table%20td%20%7B%0A%20%20padding%3A%200.35em%3B%0A%20%20font-size%3A%200.9em%3B%0A%7D%0Atable.rg-table%20.highlight%20td%20%7B%0A%20%20font-weight%3A%20bold%3B%0A%7D%0Atable.rg-table%20th.number%2C%0Atd.number%20%7B%0A%20%20text-align%3A%20right%3B%0A%7D%0A%0A%2F%2A%20media%20queries%20%2A%2F%0A%40media%20screen%20and%20%28max-width%3A%20600px%29%20%7B%0A%20%20.rg-container%20%7B%0A%20%20%20%20max-width%3A%20600px%3B%0A%20%20%20%20margin%3A%200%20auto%3B%0A%20%20%7D%0A%20%20table.rg-table%20%7B%0A%20%20%20%20width%3A%20100%25%3B%0A%20%20%7D%0A%20%20table.rg-table%20tr.hide-mobile%2C%0A%20%20table.rg-table%20th.hide-mobile%2C%0A%20%20table.rg-table%20td.hide-mobile%20%7B%0A%20%20%20%20display%3A%20none%3B%0A%20%20%7D%0A%20%20table.rg-table%20thead%20%7B%0A%20%20%20%20display%3A%20none%3B%0A%20%20%7D%0A%20%20table.rg-table%20tbody%20%7B%0A%20%20%20%20width%3A%20100%25%3B%0A%20%20%7D%0A%20%20table.rg-table%20tr%2C%0A%20%20table.rg-table%20th%2C%0A%20%20table.rg-table%20td%20%7B%0A%20%20%20%20display%3A%20block%3B%0A%20%20%20%20padding%3A%200%3B%0A%20%20%7D%0A%20%20table.rg-table%20tr%20%7B%0A%20%20%20%20border-bottom%3A%20none%3B%0A%20%20%20%20margin%3A%200%200%201em%200%3B%0A%20%20%20%20padding%3A%200.5em%3B%0A%20%20%7D%0A%20%20table.rg-table%20tr.highlight%20%7B%0A%20%20%20%20background-color%3A%20inherit%20%21important%3B%0A%20%20%7D%0A%20%20table.rg-table.zebra%20tr%3Anth-child%28even%29%20%7B%0A%20%20%20%20background-color%3A%20transparent%3B%0A%20%20%7D%0A%20%20table.rg-table.zebra%20td%3Anth-child%28even%29%20%7B%0A%20%20%20%20background-color%3A%20%23f6f6f6%3B%0A%20%20%7D%0A%20%20table.rg-table%20tr%3Anth-child%28even%29%20%7B%0A%20%20%20%20background-color%3A%20transparent%3B%0A%20%20%7D%0A%20%20table.rg-table%20td%20%7B%0A%20%20%20%20padding%3A%200.5em%200%200.25em%200%3B%0A%20%20%20%20border-bottom%3A%201px%20dotted%20%23ccc%3B%0A%20%20%20%20text-align%3A%20right%3B%0A%20%20%7D%0A%20%20table.rg-table%20td%5Bdata-title%5D%3Abefore%20%7B%0A%20%20%20%20content%3A%20attr%28data-title%29%3B%0A%20%20%20%20font-weight%3A%20bold%3B%0A%20%20%20%20display%3A%20inline-block%3B%0A%20%20%20%20content%3A%20attr%28data-title%29%3B%0A%20%20%20%20float%3A%20left%3B%0A%20%20%20%20margin-right%3A%200.5em%3B%0A%20%20%20%20font-size%3A%200.95em%3B%0A%20%20%7D%0A%20%20table.rg-table%20td%3Alast-child%20%7B%0A%20%20%20%20padding-right%3A%200%3B%0A%20%20%20%20border-bottom%3A%202px%20solid%20%23ccc%3B%0A%20%20%7D%0A%20%20table.rg-table%20td%3Aempty%20%7B%0A%20%20%20%20display%3A%20none%3B%0A%20%20%7D%0A%20%20table.rg-table%20.highlight%20td%20%7B%0A%20%20%20%20background-color%3A%20inherit%3B%0A%20%20%20%20font-weight%3A%20normal%3B%0A%20%20%7D%0A%7D%0A%0A%3C%2Fstyle%3E%0A%3Cdiv%20class%3D%27rg-container%27%3E%0A%09%3Ctable%20class%3D%27rg-table%27%20summary%3D%27Hed%27%3E%0A%09%09%3Cthead%3E%0A%09%09%09%3Ctr%3E%0A%09%09%09%09%3Cth%20class%3D%27text%20%27%3E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陳建璋醫師的拇指外翻手術

陳建璋醫師的手術治療方式包含截骨式拇趾外翻手術及不截骨的拇趾外翻手術。陳建璋醫師綜合各項手術的優點，以微創方式進行手術，可以依據受術者狀況訂定完整的治療計畫。

陳建璋醫師的截骨式拇趾外翻手術是以Z型拇趾外翻手術為基礎發展的，具有手術後不用打石膏、不用請長假休養、不用另外做手術拆除固定釘，並且醫師也可以同時調整韌帶，減少拇指外翻再復發的機率。

以下我們就目前市面上有的手術類型作介紹，方便大家了解這項手術：

傳統拇趾外翻手術

傳統的拇趾外翻手術，是透過多個傷口進入放鬆相關的筋膜組織，並且截斷第一蹠骨與近端趾骨、調整蹠骨與趾骨角度位置，以達到改善的目的．

傳統拇趾外翻手術，雖然對於組織破壞較大，更疼痛、恢復期長，術後還需要打石膏，並且一段時間後，還需要透過手術拆除固定的鋼釘等，相當不便利。

微創拇趾外翻手術

微創拇趾外翻手術，一樣是採用截斷第一蹠骨，將趾骨推回原來位置（讓馬兒回到軌道上）的治療方式，但是，相對於傳統拇趾外翻手術，微創拇趾外翻手術不做筋膜的放鬆，也因此在手術後經過一段時間，還是有相對高的機率因為筋膜收緊的力量（韁繩的錯誤用力）造成偏斜而再次復發．

韌帶聯合術

韌帶聯合術是非截骨式的手術方式，藉由手術縫線物理性的拉力，將第一蹠骨綁向第二蹠骨，矯正偏斜的角度，並且藉由類似韌帶組織的軟組織增生，達到固定的作用．簡單來說，這項手術方式是重新打造一條可以拴住馬兒的韁繩，藉此把馬兒拉回到軌道上．

韌帶聯合術比較適合程度較輕微、骨骼或關節未變形的患者，而且由於新生韌帶發展到可以牢固的固定趾骨前，需要更長的恢復期，當然復發機率也相對提高。

Z型拇趾外翻手術

「Z型拇趾外翻手術」是根據大量足部解剖資料所發展而來的手術方式．相對於其他截骨手術（傳統拇趾外翻手術或微創拇趾外翻手術）縱面的截斷方式，「Z型拇趾外翻手術」兼採橫斷的截骨術式，保留蹠骨的血液供應，避開關節，再採用特製的螺絲或接骨鋼板等內固定方法，不僅術後當日就能下床行走，也省去了打石膏、拆骨釘等不便利的過程．

此外，由於「Z型拇趾外翻手術」的截斷術式具有較大的調整空間，能根據相異的問題調整截骨的角度，因此可以處理的症狀程度更廣泛。