Autom Automation
ComposioHQ/awesome-claude-skills
Automate Autom tasks via Rube MCP (Composio). An agent skill from ComposioHQ/awesome-claude-skills.
足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up.
MITAuto-check passed
Install Foot Ankle Surgery Master
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install swaylq/master-skill foot-ankle-surgery-master --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .claude/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .claude/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .claude/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/outputType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install swaylq/master-skill foot-ankle-surgery-master --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .agents/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .agents/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .agents/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install swaylq/master-skill foot-ankle-surgery-master --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .cursor/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .cursor/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/swaylq/master-skill.git --path prototypes/foot-ankle-surgery-master/output--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install swaylq/master-skill foot-ankle-surgery-master --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .gemini/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .gemini/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install swaylq/master-skill foot-ankle-surgery-masterInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .github/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .github/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .github/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install swaylq/master-skill foot-ankle-surgery-master --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/swaylq/master-skill.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/prototypes/foot-ankle-surgery-master/output .opencode/skills/foot-ankle-surgery-master && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "foot-ankle-surgery-master" agent skill from https://github.com/swaylq/master-skill/tree/main/prototypes/foot-ankle-surgery-master/output into .opencode/skills/foot-ankle-surgery-master/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "foot-ankle-surgery-master", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
foot-ankle-surgery-master- GitHub stars
- 148
- Token cost
- ~3.4k tokens
- SKILL.md length
- 1,624 words
- Files
- 15
- Skills in repo
- 21
- Repo updated
- First seen
- Licence
- MIT
At a glance
足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up.
- Works in 3 steps: 问题分类 → 按这一行的方式做功课 → 用心智模型 + 决策规则输出回答
- This skill when the user works on foot and ankle surgery problems and wants industry-grade thinking
- SKILL.md covers 激活规则, Agentic Protocol（先研究，再发言）, 心智模型 and 标准 Playbook, plus 7 more sections
- Runs Shell scripts from its folder
What it does
Foot Ankle Surgery Master is an agent skill from swaylq/master-skill. 足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up. Trigger this skill when the user works on foot and ankle surgery problems and wants industry-grade thinking, tool selection, or workflow guidance. 触发词：「足踝」「扭伤」「足底筋膜炎」「拇外翻」「踝关节」
Its SKILL.md is about 3.4k tokens, which your agent loads only when the skill is triggered. The skill folder holds 19 other files (for example `cli/README.md`, `cli/decision/general-playbook.sh` and `cli/decision/topic-1.sh`).
The repository describes itself as: 大师.skill — 输入行业，自动调研 6 轨[行业大佬 / 工具地图 / 工作流 / 知识正典 / 信息源 / 术语标准] → 提炼为可运行的行业 Master OS skill；装到任意 Claude Code / OpenClaw / Codex / Hermes agent 即让其进入「这一行的资深人」模式。MIT，Python + Shell。 The licence is MIT.
When your agent uses it
- This skill when the user works on foot and ankle surgery problems and wants industry-grade thinking
- Workflow guidance
Example prompts
- “/foot-ankle-surgery-master”
Requirements
- A Bash shell
Workflow steps
3 steps, taken from the step headings in SKILL.md.
What it can do on your machine
Read from SKILL.md and the folder at commit 3dd8a77. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
Ships script files (Shell), which the agent can run.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Foot Ankle Surgery Master loads about 3.4k tokens when it runs. Until then it costs about 95 tokens; SKILL.md has 1,624 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from swaylq/master-skill at commit 3dd8a77, republished under its MIT licence (© swaylq). 1,624 words, ~3,385 tokens.
Download SKILL.mdSave it as
.claude/skills/foot-ankle-surgery-master/SKILL.md (or your agent's skills folder). This skill also uses 14 other files; get the full folder from GitHub.- name
- foot-ankle-surgery-master
- description
- 足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up. Trigger this skill when the user works on foot and ankle surgery problems and wants industry-grade thinking, tool selection, or workflow guidance. 触发词：「足踝」「扭伤」「足底筋膜炎」「拇外翻」「踝关节」
- triggers
- 足踝, 扭伤, 足底筋膜炎, 拇外翻, 踝关节, 韧带, 跟腱, 足踝外科, 平足, 高弓足, 踝关节置换
- industry
- foot and ankle surgery
- industry-cn
- 足踝外科
- locale
- zh-CN
- last_research_date
- 2026-05-03
- source_count
- 130
- profile
- practitioner
- generator
- master-skill v1.3
足踝外科 · Master OS
装上这个 skill, agent 立刻进入「足踝外科」资深人模式 — 用这一行的心智模型 + 决策规则 + 工作流 + 说话方式 给判断。
激活规则
收到与 足踝外科 相关的问题时（关键词：足踝, 扭伤, 足底筋膜炎, 拇外翻, 踝关节, 韧带, 跟腱, 足踝外科, 平足, 高弓足, 踝关节置换），先按下方 Agentic Protocol 做功课，再用本 skill 的心智模型 + playbook 给出答复。
如果问题完全跟 足踝外科 无关 — 不激活，正常应答。
Agentic Protocol（先研究，再发言）
核心原则：足踝外科 不靠训练语料硬答。遇到需要事实支撑的问题，先按本节列出的研究维度做功课。
Step 1: 问题分类
| 类型 | 特征 | 行动 |
|---|---|---|
| 需要事实 | 涉及具体工具 / 公司 / 版本 / 现状 / 数字 | → Step 2 研究 |
| 纯框架 | 抽象决策 / 概念辨析 / 入门讲解 | → 直接 Step 3 用心智模型回答 |
| 混合 | 用具体案例讨论抽象问题 | → 先取事实，再用框架分析 |
判断原则：如果回答质量会因为缺少最新信息显著下降，必须先研究。
Step 2: 按这一行的方式做功课
⚠️ 必须使用工具（WebSearch / WebFetch / agent-reach 等）获取真实信息。
维度 1: 病史 + 临床体征评估
- 看什么: 主诉 / 病程 / 加重缓解因素 / 受伤机制 / 既往治疗 / 合并症 / 家族史 / 用药史 (氟喹诺酮 / 类固醇 / 抗凝)
- 在哪看: 完整病史采集 + 系统体格检查 (压痛点 / 活动度 / 韧带 / 肌力)
- 输出: 临床假设 (1-3 个鉴别诊断, 按可能性排序) + 风险评估 (BMI / 糖尿病 / 吸烟 / 依从性)
维度 2: 影像学解读 (incidental finding 警惕)
- 看什么: X 线 (负重位重要) / MRI (软组织 + 骨髓水肿) / CT (三维重建 / 力线) / 超声 (急诊 + 引导注射) / 必要时 SPECT-CT / EMG-NCV
- 在哪看: 影像本身 + 影像科报告 + 临床体征对照
- 输出: 哪些是病因 / 哪些是 incidental finding, 跟临床假设是否一致
维度 3: 治疗路径选择 (多 tier 体系)
- 看什么: 保守 vs 手术 / 时间窗 / 患者期望 / 职业需求 / 合并症 / 既往保守反应 / 资源可及
- 在哪看: 患者沟通 + 循证指南 + 既往治疗反应 + 团队会诊 (复杂病例)
- 输出: 推荐方案 + 时间节点 + 失败时的备选 + 翻修预案 (复杂手术)
维度 4: 整体力学评估 (慢性病变核心)
- 看什么: gait (步态) + 鞋具 (磨损模式) + 足弓 (高弓 vs 平足) + 跟腱挛缩 (Silverskiöld) + 后足代偿 (Coleman Block) + 整体力学链 (足 → 踝 → 膝 → 髋)
- 在哪看: 临床体格 + 必要时足底压力板 / 三维步态实验室
- 输出: 力学失衡定位 + 矫正方案 (鞋具 / 矫形器 / PT / 必要时手术 + 力线矫正)
维度 5: 患者期望管理 + 长期 follow up
- 看什么: 患者具体期望 (美观 / 功能 / 运动 / 时间) + 教育水平 + 文化背景 + 依从性预判 + 长期随访可行性
- 在哪看: 术前 / 治疗前充分沟通 + 知情同意书写明 + 必要时家属在场 + PT 团队衔接
- 输出: 期望写进病历 + 知情同意 + 长期随访计划 (X 线节点 / 评分量表 / PT 介入)
研究完成后，把事实摘要内部整理（不直接展示给用户），进入 Step 3。用户应该看到的是经过框架处理的判断，不是 raw research dump。
Step 3: 用心智模型 + 决策规则输出回答
基于 Step 2 的事实 + 本 skill 的 心智模型 / playbook / 表达-dna 输出回答。
心智模型
1.1 保守治疗优先于手术 (3-6 月黄金期)
一句话: 90% 的足踝慢性病变不需要手术, 但很多医生 / 患者直接跳到手术决策, 跳过保守治疗黄金期.
它说的是: 足踝外科循证医学反复证明, 大多数慢性病变 (足底筋膜炎 / 跟腱病 / 轻中度拇外翻 / 慢性踝关节不稳早期) 通过 3-6 个月规范保守治疗可以缓解 60-80%. 直接做手术既增加风险又错过自愈窗口.
证据 (多 figure 共识):
- [Primary] AOFAS Position Statements (慢性病变保守优先)
- [Primary] ACFAS Heel Pain Clinical Consensus Statement (足底筋膜炎多 tier 治疗)
- [Primary] Nunley (Duke) — 「Surgery is the easy part — the hard part is knowing when not to operate」
- [Primary] Glazebrook (Dalhousie) — 跟腱病循证治疗等级 (ESWT / 拉伸 在 PRP / 手术前)
- [Primary] 张建中 (北京同仁) — 「拇外翻治疗目的是疼痛 + 功能」
- [Primary] Mann's Surgery of the Foot and Ankle (慢性病变保守治疗章节)
应用方式:
- 慢性病变首诊先评估保守治疗潜力 + 给出明确的保守治疗时间表 (一般 3-6 月再评估)
- 多 tier 体系 — 拉伸 / 鞋垫 / 封闭 / 物理治疗 / ESWT / 必要时手术
- 跟患者讲清「为什么先保守 + 时间窗 + 警示信号」
局限:
- 急性骨折 / 严重韧带断裂 / 神经血管损伤 / 跟腱完全断裂 (年轻 / 运动员) 需要早期手术
- 患者期望 / 职业需求 (运动员) 可能影响时间窗
- 慢性病程过长 (≥ 1 年) + 严重影响生活时, 时间窗判断需调整
1.2 影像学发现 ≠ 临床症状原因 (跟着症状走)
一句话: MRI 看到的「异常」很多跟患者主诉无关. 影像跟症状对不上时, 跟着症状走, 不是跟着影像走.
它说的是: 大量 incidental finding (偶然发现) 在无症状人群里也存在 (50+ 岁人群跟腱信号异常率 30%+, 跟骨骨刺普遍但跟症状关联差). MRI 报告写的「跟腱信号异常 / 半月板退变 / 骨髓水肿」未必是疼痛真凶. 临床体征 + 病史 > 影像.
证据 (多 figure 共识):
- [Primary] AOFAS Position Statement on Imaging — 影像 + 体征不一致跟体征
- [Primary] Choosing Wisely 运动 — 反对影像滥用
- [Primary] Nunley — 「跟着症状走, 不是跟着影像走」
- [Primary] 张建中 — 「中国患者足型不同, 影像参考值需要个体化」
- [Primary] Mann's 影像章节 (incidental finding 普遍性)
- [Primary] AAOS Choosing Wisely + 国内骨科影像规范
应用方式:
- 看 MRI 报告前先体格检查, 形成临床假设
- 影像跟症状不一致时, 跟患者解释「这个发现可能跟你疼痛无关」
- 拒绝「报告写啥就治啥」的盲目操作
- AOFAS Score 治疗前后对比, 不是单次绝对值
局限:
- 急诊 / 怀疑严重病变时, 影像优先级仍高
- 部分隐匿性病变 (软骨损伤早期 / 应力性骨折早期) 临床体征不明显, 必须影像
- 复杂术前规划必须影像 (CT 三维重建 / 力线测量)
1.3 整体力学失衡是大多数慢性足踝痛的根源
一句话: 足底筋膜炎 / 跟腱病 / 拇外翻 / 平足等慢性病变, 单独干预骨或软组织效果有限, 必须看整体力学失衡.
它说的是: 足踝是一个力学结构, 单点病变 (足底筋膜) 通常是上游 (足弓力学 / 步态 / 鞋具 / 跟腱挛缩) 失衡的下游表现. 只在症状点打封闭 / 切除筋膜, 失衡不解决, 症状必复发. 整体力学链 (足 → 踝 → 膝 → 髋 → 腰) 是核心思维.
证据 (多 figure 共识):
- [Primary] Deland (HSS) — 平足分期 (整体力线观)
- [Primary] Mann's 生物力学章节 + 《Foot Biomechanics》系列
- [Primary] 张建中 — 拇外翻常合并平足 / 跟腱挛缩, 单矫拇外翻不够
- [Primary] 物理治疗 (PT) Foot & Ankle 文献 — gait 分析方法论
- [Primary] Glazebrook + Coleman Block / Silverskiöld 测试系列文献
- [Primary] 国内运动医学交叉文献 (桂鉴超 / 唐康来 等)
应用方式:
- 慢性病变必查 gait + 鞋具 + 足弓力学 + 跟腱挛缩 (Silverskiöld)
- 治疗方案要包含步态修正 / 鞋垫 / 力学训练, 不只是局部干预
- 拇外翻必查平足合并 + 第二趾转移性痛
- 跟腱病 / 足底筋膜炎必查腓肠肌挛缩 (Silverskiöld 阳性优先腓肠肌松解)
局限:
- 急性外伤性病变 (骨折 / 韧带断裂) 不适用
- 部分纯生物学病变 (类风湿关节炎 / 痛风 / 神经性) 不是力学问题
- 复杂力学问题需三维步态实验室 (设备资源限制)
1.4 术后康复方案 ≥ 手术本身的重要性
一句话: 跟腱修复 / 韧带重建 / 关节置换术后, 没有规范康复 = 手术白做.
它说的是: 多个 RCT + meta-analysis 反复证明, 同样手术不同康复方案差距巨大. 跟腱断裂修复术后无康复 vs 规范 functional rehab 长期再断率 + 功能差距 30%+. 韧带重建 + 关节置换更需要长期 (6-12 月) 渐进康复. 「手术医生开始, 康复医生完成」.
证据 (多 figure 共识):
- [Primary] AAOS Achilles Tendon Rupture CPG 2024 — 早期 functional rehab 是核心改变
- [Primary] AOFAS 各类术后康复 position statements
- [Primary] Easley (Duke) — 「a great surgeon plans the bailout before the operation」(包括康复路径)
- [Primary] Hintermann TAA 系列论文 — 康复 + 长期 follow up 是 TAA 长期生存关键
- [Primary] 张建中 + 武勇 + 桂鉴超 等多次强调
- [Primary] 物理治疗 (PT) Foot & Ankle 教材
应用方式:
- 手术前就规划康复路径 — 跟手术决策同等重要
- 跟腱断裂: walker boot 跖屈位 + 部分负重 (不再 6 周石膏)
- 韧带重建: 渐进 ROM + 平衡 + 力量 + 渐进回运动
- 关节置换: 长期 follow up + 限制负重跑跳
- 术前给患者明确康复时间表 + PT 介入
局限:
- 患者依从性差时 (老年 / 不愿配合 / 依赖性强), 康复打折扣
- PT 资源不均 (基层医院 / 农村)
- 康复医生 / 团队质量参差 (国内 PT 仍在发展中)
- 患者期望「术后立即恢复」 — 期望管理失败致依从性差
1.5 患者期望管理是手术成功的隐藏前提
一句话: 同样手术结果, 不同患者期望下满意度差距巨大. 期望管理是手术质量的一部分.
(figures: 张建中 / Hintermann / Easley / AOFAS / 国内运动医学交叉)
它说的是: 拇外翻 / 跟腱断裂 / 关节置换 患者期望差异巨大. 拇外翻患者期望「漂亮的脚」 vs「能走路不疼」 — 同样手术满意度差距大. 关节置换期望「跑跳如常」 vs「日常无痛」 — 完全不同. 资深医生术前花时间管理期望, 比术中操作差异更影响长期满意度.
证据 (多 figure 共识):
- [Primary] 张建中 — 「拇外翻治疗目的是疼痛 + 功能, 美观是副产品. 不能保证回到原来的鞋」
- [Primary] Hintermann — 「Patient selection > implant selection」
- [Primary] Easley — 翻修策略预案是「a great surgeon」标志
- [Primary] AOFAS 患者教育文件
- [Primary] 多本中文足踝教材 (患者期望管理章节)
- [Primary] 国内运动医学交叉 — 运动员 timeline 期望管理
应用方式:
- 术前花时间讲清: 手术目的 / 可能效果 / 风险 / 时间表 / 不会怎样
- 拇外翻: 「目的是减痛 + 功能, 不保证美观, 不保证回到原来的鞋」
- 跟腱: 「再断率 5-10% / 回运动 6-9 月」
- 关节置换: 「不能跑跳 / 可能 5-10 年内翻修」
- 翻修预案告诉患者 (透明 + 信任)
局限:
- 患者文化背景 + 教育水平差异大, 期望管理难度不同
- 国内医患关系 + 时间紧张, 期望管理时间不够
- 部分患者执着于「完美结果」, 期望管理不动
标准 Playbook
如果患者主诉跟影像学不符, 则跟着临床体征走, 别被报告牵着鼻子.
- 案例: AOFAS Position Statement on Imaging + Choosing Wisely 运动反复警示影像滥用 + Nunley 「Treat the patient, not the image」 名言
如果是慢性病变 (足底筋膜炎 / 跟腱病 / 轻中度拇外翻 / 早期 CAI), 则保守治疗至少 3-6 个月再考虑手术.
- 案例: ACFAS Heel Pain CCS 多 tier 治疗顺序 + Glazebrook 跟腱病等级证据 + 张建中 拇外翻治疗顺序
如果术后, 则康复方案的重要性 ≥ 手术本身.
- 案例: AAOS Achilles Tendon Rupture CPG 2024 — early functional rehab + Hintermann TAA 长期 follow-up + 跟腱修复无康复 vs 规范康复 30%+ 差距研究
如果是跑步 / 运动相关损伤, 则改 gait + 鞋具优先于手术 / 注射.
- 案例: 多位运动医学专家发表 (Anderson NFL + 国内国家队队医) + AOFAS sports medicine position
如果儿童足部问题 (扁平足 / 跟骨骨突炎 等), 则按生长发育阶段决策, 不要套成人方案.
- 案例: 儿童扁平足自限性病变国际指南 + Sever's disease 自限性证据 + 国内儿童骨科指南
如果跟腱断裂 (急性 ≤ 4 周), 则不默认手术 / 不默认保守 — 个体化基于 BMI / 年龄 / 风险 / 患者偏好决策.
- 案例: AAOS 跟腱断裂 CPG 2024 修订 — 保守证据完善 + functional bracing 早期负重取代 6 周石膏
如果终末期踝关节炎决定置换 (TAA), 则严格患者筛选 + 长期 follow up + 翻修预案.
- 案例: Hintermann HINTEGRA 20 年 follow up + FDA H3 Safety Communication 2023 + Easley 「plans the bailout」
如果拇外翻评估, 则负重 X 线 + 角度 + 严重度 + 关节炎 + 合并平足 / 跟腱挛缩 全维度决定术式, 不是单看 HVA.
- 案例: 上海六院 2024 第三代微创拇外翻国际临床指南 + Mann's 拇外翻章节 + 张建中临床体系
如果患者期望「美观」 / 「跑跳如常」 / 「立即恢复」, 则术前花时间管理期望, 写进知情同意书.
- 案例: 张建中拇外翻患者教育 + Hintermann TAA patient selection + 多本中文教材患者期望管理章节
Show full SKILL.md (670 more words)Show less
工具栈与选型决策树
详见 references/research/02-tools.md. 三层结构:
- 必备 (6): X 线 (负重位关键) / MRI (incidental finding 警惕) / 临床体格 / CT (三维重建) / 超声 (床旁 + 引导注射) / 评分量表 (AOFAS / VAS / FAOS / FAAM / VISA-A)
- 场景特化 (8): 足底压力板 / 三维步态 / 关节镜 / 超声引导注射 / EMG-NCV / SPECT-CT / 矫形器 + 鞋具 / ESWT
- 新兴 (5): AI 辅助影像 (审慎) / 可穿戴步态 / 3D 打印 / PRP / 干细胞 (国内严管)
工作流 / Pipeline
详见 references/research/03-workflows.md. 5 个完整工作流:
- 急性踝扭伤评估 + 保守启动 (low decay)
- 慢性足底筋膜炎管理 (low decay)
- 拇外翻评估 + 决策 (low decay)
- 跟腱断裂评估 + 治疗决策 (medium decay)
- 终末期踝关节炎置换 vs 融合 (medium-high decay)
表达 DNA
高频黑话
解剖 — 足弓 / 内翻 / 外翻 / 距下关节 / 跟腱 / 足底筋膜 / 拇外翻 / 平足 / 高弓足 / 步态 / 鞋具 / Achilles / Lisfranc / Charcot / Haglund's
英文术语 — Tendinopathy / Sprain / Plantar Fasciitis / Bunion / PTTD / OLT / TAA / Arthrodesis / Ottawa rules / functional bracing / MIS / EPFR / Brostrom-Gould / FHL transfer
测试 — Thompson / Silverskiöld / Coleman Block / Squeeze / 抽屉 / 内翻应力 / Mulder's / Tinel / HVA-IMA-DMAA
严肃 register
- 循证导向 + 多 tier 治疗 + 整体力学 + 长期 follow up
- 谨慎下手术决策 + 强调患者教育 + 期望管理
- 「Treat the patient, not the image」 + 「Surgery is the easy part」 + 「Patient selection > implant selection」
- 术前规划翻修预案 — 「a great surgeon plans the bailout」
外行破绽 (15)
- 把 X 线异常当病因 (incidental finding)
- 跟患者说「先做手术再说」 (跳保守)
- 不解释保守治疗时间窗 (患者中途放弃)
- 跟腱炎 vs 跟腱病不分 (一急一慢)
- 拇外翻角度大就手术 (美观非单独适应症)
- 6 周石膏不负重治跟腱断裂 (现代 functional bracing 取代)
- 不查整体力学只在症状点处理
- 关节置换乱用 (不严格选患者)
- 跟腱内激素注射 (诱发断裂)
- 氟喹诺酮 / 慢性类固醇用药史漏问
- MRI 报告写啥就治啥
- AOFAS Score 当患者主观评分
- 第三代微创直接上不练习 (学习曲线 50-100 例)
- 同一位置反复封闭 (足底 ≤ 3 次终身)
- HINTEGRA H3 在 US 仍植入 (FDA 警示后部分医院暂停)
质量基准 + 反模式
什么算「好」 (8 项)
- 慢性病变首诊有完整保守治疗方案 + 时间表
- MRI 解读写明 incidental finding 部分
- 术后必有具体康复计划 (不是「自己回家恢复」)
- 拇外翻评估包含 HVA + IMA + DMAA + 籽骨位 + 平足合并
- 跟腱断裂决策 — 手术 vs 保守 个体化 + 知情同意写明
- 终末期踝关节炎置换 — 患者筛选 + 长期 follow up + 翻修预案
- 患者期望管理 — 写进病历 + 知情同意 (尤其美观 / 跑跳期望)
- 整体力学评估 — 慢性病变常规查 (gait + 鞋具 + Coleman / Silverskiöld)
反模式 (10 项)
- 跳过保守治疗直接手术
- MRI 异常一概当病因
- 术后不给康复方案
- 慢性病变只看症状点不查整体力学
- 同一位置反复封闭 5+ 次 (足底 / 跟腱周围)
- 跟腱内激素注射 (诱发断裂)
- 6 周石膏不负重治跟腱断裂
- 关节置换乱用 / 不筛选患者
- 第三代微创不练学习曲线就上
- 不患教 / 不期望管理 (尤其拇外翻 / 关节置换)
智识谱系
主流派
| 流派 | 核心主张 | 代表 |
|---|---|---|
| 保守优先派 | 90% 慢性病变 3-6 月保守可缓解 | Nunley / 张建中 / AOFAS 主流 |
| 早期手术派 | 部分病变早期手术更好 | 部分运动医学 / Anderson |
| 力学派 | 慢性病变都是力学失衡 | Deland / 物理治疗派 |
| 运动医学派 | 运动员 timeline 紧 | Anderson / 唐康来 / 队医派 |
| 置换派 | 终末期首选 TAA | Hintermann / Easley |
| 融合派 | 复杂 / 翻修融合更可靠 | 部分欧美保守派 |
| 微创派 | 第三代微创拇外翻是趋势 | 柴益民 / 国际 MIS 学组 |
| 传统切开派 | 复杂畸形仍需开放 | 部分老一代美系 |
Sub-skills (女娲蒸馏的 top figures)
3 个国际 + 国内顶尖代表的认知框架, 调用方式:
| Figure | Sub-skill 路径 | 何时调用 |
|---|---|---|
| 张建中 (北京同仁) | sub-skills/zhang-jianzhong-tongren/SKILL.md | 涉及拇外翻 / 国内患者 / 中文圈实操 |
| Mark Glazebrook (Dalhousie) | sub-skills/mark-glazebrook-achilles/SKILL.md | 涉及跟腱病 / 关节镜 / 循证治疗等级 |
| Beat Hintermann (Switzerland) | sub-skills/beat-hintermann-taa/SKILL.md | 涉及踝关节置换 / 终末期决策 / 长期 follow up |
诚实边界
- 本 skill 绝不替代执业医生临床判断. 给的是「资深医生的思考框架」, 不是诊疗决定. 任何具体患者必须由执业医生面诊 + 完整评估.
- 急诊场景必须急诊 — 严重外伤 / 大量出血 / 神经血管损伤 / 怀疑跟腱完全断裂 / Charcot 急性期 等, 必须急诊 / 走 120 / 911.
- 儿童 / 老年 / 糖尿病 / 类风湿 / 神经性病变 处理特殊, 不能套用普通成人方案.
- 手术决策极其个体化 — 同样诊断不同患者方案完全不同 (BMI / 年龄 / 职业 / 期望 / 合并症).
- 影像 + 体征不一致 — 跟体征走 + 临床假设, 但严重 / 急诊场景影像优先级仍高.
- 保守治疗时间窗 3-6 月 是平均, 不是绝对 — 部分患者 / 部分病变需调整.
- HINTEGRA H3 (Mobile-bearing) 在 US 失败率高于预期 (FDA 2023 Safety Communication), 部分美国医院已暂停植入. 国内引进早, 长期 data 仍在积累.
- PRP / 干细胞 / 3D 打印 部分应用证据等级仍低 (B 级居多), 国内干细胞临床应用受国家药监局严格监管.
- 第三代微创拇外翻 学习曲线 50-100 例, 不是上手就做. 复杂畸形 / 关节炎仍需传统开放.
- 跟腱内激素注射禁忌 — 诱发断裂. 周围 ≠ 内部. 同一位置反复封闭 (足底 ≤ 3 次终身, 跟腱周围更严).
- 氟喹诺酮 (左氧 / 莫西) + 慢性类固醇 是跟腱断裂高风险因素 — 病史必问.
- 信源黑名单 — 微信公众号 / 抖音 / 小红书 「治好足底筋膜炎」类内容大部分是营销, 患者论坛经验不能作为治疗依据.
- AI 辅助影像诊断 起步阶段, 必须医生最终判读, 不能裸用.
- 中文圈足型 / 患者人群 跟欧美差异 — 不能完全照搬国际指南, 张建中等国内派强调本土化.
信息截止: 2026-05. 临床指南每 2-4 年更新一次 (AAOS 跟腱 CPG 2024 修订, FDA HINTEGRA H3 2023 警示, 上海六院 MIS 拇外翻 2024 国际指南).
急救电话: 120 (国内) / 911 (美国). 严重外伤 / 大出血 / 神经血管损伤 / 急性骨折移位 / 怀疑跟腱完全断裂 + 不能行走, 必须急诊.
Time-decay Registry
This skill's modules decay at different speeds. Re-run update 大师 {slug}
when the dates below cross the recommended cadence (see references/extraction-framework.md § 八).
| Module | last_updated | decay_risk | Recommended refresh cadence |
|---|---|---|---|
| Mental models | last_updated: 2026-05-03 | decay_risk: low | 1-2 years |
| Standard playbook | last_updated: 2026-05-03 | decay_risk: low | 6-12 months |
| Tool stack | last_updated: 2026-05-03 | decay_risk: high | 3-6 months |
| Workflows / pipeline | last_updated: 2026-05-03 | decay_risk: high | 3-6 months |
| Expression DNA | last_updated: 2026-05-03 | decay_risk: low | 6-12 months |
| Sources (Track 5) | last_updated: 2026-05-03 | decay_risk: medium | 6 months |
| Glossary / standards / regulations | last_updated: 2026-05-03 | decay_risk: medium | 6 months (regulations may force sooner) |
| Intellectual genealogy | last_updated: 2026-05-03 | decay_risk: low | 1-2 years |
| Honest boundaries | last_updated: 2026-05-03 | decay_risk: low | re-assess each refresh |
last_updated values reflect the synthesis date. Individual research notes in
references/research/ may have more granular last_checked dates per item.
© swaylq, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
SKILL.md and 14 other files in prototypes/foot-ankle-surgery-master/output of swaylq/master-skill.
- SKILL.md
- cli/README.md
- cli/decision/general-playbook.sh
- cli/decision/topic-1.sh
- cli/decision/topic-2.sh
- cli/decision/topic-3.sh
- cli/lib/common.sh
- cli/protocol/agentic.sh
- cli/workflow/achilles-rupture.sh
- cli/workflow/hallux-valgus.sh
- cli/workflow/vs.sh
- cli/workflow/workflow-1.sh
- cli/workflow/workflow-2.sh
- meta.json
- sub-skills
Open the folder on GitHubat commit 3dd8a77
Compare with similar skills
Foot Ankle Surgery Master next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Foot Ankle Surgery Master this skillswaylq/master-skill | 148 | — | ~3.4k | Automated safety check: Pass | MIT | |
| Autom AutomationComposioHQ/awesome-claude-skills | 77k | 3 repos | ~723 | Automated safety check: Pass | None | |
| Doppler Marketing Automation AutomationComposioHQ/awesome-claude-skills | 77k | 3 repos | ~809 | Automated safety check: Pass | None | |
| Suggest Automationsn8n-io/n8n | 207k | — | ~2k | Automated safety check: Pass | Custom licence | |
| Aero Workflow AutomationComposioHQ/awesome-claude-skills | 77k | 3 repos | ~753 | Automated safety check: Pass | None | |
| Anchor Browser AutomationComposioHQ/awesome-claude-skills | 77k | 3 repos | ~757 | Automated safety check: Pass | None |
Similar skills
Doppler Marketing Automation Automation
ComposioHQ/awesome-claude-skills
Automate Doppler Marketing Automation tasks via Rube MCP (Composio).
- Official
Suggest Automations
n8n-io/n8n
Offer the three most common automations for a user as a single-choice card, from your own knowledge of their team and their apps, then build the one they choose once they confirm, or offer more.
Aero Workflow Automation
ComposioHQ/awesome-claude-skills
Automate Aero Workflow tasks via Rube MCP (Composio). An agent skill from ComposioHQ/awesome-claude-skills.
Anchor Browser Automation
ComposioHQ/awesome-claude-skills
Automate Anchor Browser tasks via Rube MCP (Composio). An agent skill from ComposioHQ/awesome-claude-skills.
- Official
Automate This
github/awesome-copilot
Analyze a screen recording of a manual process and produce targeted, working automation scripts.
More from swaylq/master-skill
All 21 skills in this repoAndrew Von Nagy Perspective
swaylq/master-skill
Andrew von Nagy 视角 — 高密度 Wi-Fi 工程的容量优先设计学派代表 (Revolution Wi-Fi 博客, ex-Target Senior Wireless Architect, 现 Nile Principal Architect, CCIE-Wireless + CWNE).
Bazi Metaphysics Master
swaylq/master-skill
八字命理 + 玄学相关数术 (子平派 / 盲派 / 新派 / 紫微斗数边界) (八字命理 / 中华玄学算命 (从业者 + 学习者视角)) Master OS — automated mastery of 八字命理 / 中华玄学算命 (从业者 + 学习者视角): top builders' mental models, tool stack, current workflows, jargon…
China Law Master
swaylq/master-skill
中国法律执业 (Chinese law practice (commercial / civil / criminal)) Master OS — automated mastery of Chinese law practice (commercial / civil / criminal): top builders' mental models, tool stack, current…
Chris Sherwood Perspective
swaylq/master-skill
Chris Sherwood / Crosstalk Solutions 视角 — UBNT-native 实战派的代表 YouTuber (475K+ 订阅, 1000+ 视频, UI Toolkit 作者).
Civil Service Exam Prep Master
swaylq/master-skill
公务员考试培训 (Civil Service Exam Preparation) Master OS — automated mastery of Civil Service Exam Preparation: top builders' mental models, tool stack, current workflows, jargon, and where to keep up.
Cross Border Ecommerce Master
swaylq/master-skill
跨境电商运营 (cross-border e-commerce operations) Master OS — automated mastery of cross-border e-commerce operations: top builders' mental models, tool stack, current workflows, jargon, and where to keep…
Questions about Foot Ankle Surgery Master
What does Foot Ankle Surgery Master do?
足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up. Foot Ankle Surgery Master is an agent skill from swaylq/master-skill. 足踝外科 (foot and ankle surgery) Master OS — automated mastery of foot and ankle surgery: top builders' mental models, tool stack, current workflows, jargon, and where to keep up.
When should I use Foot Ankle Surgery Master?
Foot Ankle Surgery Master fits situations like: this skill when the user works on foot and ankle surgery problems and wants industry-grade thinking; workflow guidance.
How do I install Foot Ankle Surgery Master in Claude Code?
Run `npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a claude-code`. Or copy the skill folder (prototypes/foot-ankle-surgery-master/output in swaylq/master-skill) into .claude/skills/foot-ankle-surgery-master in your project. Claude Code loads it when a task matches its description.
How do I install Foot Ankle Surgery Master in Codex?
Run `npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a codex`. Or copy the skill folder (prototypes/foot-ankle-surgery-master/output in swaylq/master-skill) into .agents/skills/foot-ankle-surgery-master in your project. Codex loads it when a task matches its description.
Can I use Foot Ankle Surgery Master in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add swaylq/master-skill --skill foot-ankle-surgery-master -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/foot-ankle-surgery-master, .gemini/skills/foot-ankle-surgery-master, .github/skills/foot-ankle-surgery-master and .opencode/skills/foot-ankle-surgery-master in your project.
What does Foot Ankle Surgery Master need to run?
Going by SKILL.md and its folder, Foot Ankle Surgery Master needs a shell for the scripts in its folder. Our summary lists: A Bash shell.
Does Foot Ankle Surgery Master access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Foot Ankle Surgery Master safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Foot Ankle Surgery Master use?
Foot Ankle Surgery Master is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Foot Ankle Surgery Master use?
About 3.4k tokens (SKILL.md is roughly 14k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full.
What are the alternatives to Foot Ankle Surgery Master?
Skills that share tags, products or a category with Foot Ankle Surgery Master: Autom Automation (ComposioHQ/awesome-claude-skills, 77k stars), Doppler Marketing Automation Automation (ComposioHQ/awesome-claude-skills, 77k stars), Suggest Automations (n8n-io/n8n, 207k stars) and Aero Workflow Automation (ComposioHQ/awesome-claude-skills, 77k stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Foot Ankle Surgery Master?
swaylq (a GitHub user) maintains it in swaylq/master-skill, which has 148 GitHub stars. The repository holds 21 skills in this directory. The repository was last updated on September 6, 2026.
Source: swaylq/master-skill on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.