最近审阅: 24 十月 2020
最近更新: 27 十一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 足跟疼痛(刺痛或刀割样疼痛)
  • 休息后疼痛缓解
  • 静止后运动障碍

其他诊断因素

  • 赤足行走疼痛加重
  • 使用非甾体抗炎药可缓解疼痛
  • 无足跟部急性损伤的病史
  • 自限性疼痛
  • 单侧足跟疼痛
  • 背伸-外翻试验阳性
  • Windlass试验阳性
  • Tinel征阴性

危险因素

  • 肥胖
  • 马蹄足
  • 扁平足
  • 弓形足
  • 年龄超过40岁
  • 长时间站立史
  • 跑步者

诊断性检查

需考虑的检查

  • 骨扫描(锝)
  • 核磁共振成像 (MRI)
  • HLA-B27
  • 类风湿因子
更多 需考虑的检查

治疗流程

进行中

撰稿人

Martha Anderson

Podiatric Foot and Ankle Surgeon

Private Practice

Foot and Ankle Wellness Center

Podiatric Foot and Ankle Surgeon

Department of Surgery

Grady Memorial Hospital

Delaware

OH

利益声明

MA declares that she has no competing interests.

Dr Martha Anderson would like to gratefully acknowledge Dr Georgeanne Botek, the previous contributor to this topic. GB declares that she has no competing interests.

同行评议者展开全部内容

Director

Foot and Ankle Trauma Service

Kaiser Permanente

Cleveland

OH

利益声明

MAH declares that he has no competing interests.

Board Certified in Reconstructive Rear foot and Ankle Surgery

Department of Surgery

St. Vincent Charity Hospital

Cleveland

OH

利益声明

MJ declares that she has no competing interests.

Program Director

Podiatric Residency

Cleveland Clinic

Cleveland

OH

利益声明

PJM declares that he has no competing interests.

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