Rose Jonathan D, Malay D Scot, Sorrento Dean L
Department of Podiatric Surgery, Ankle and Foot Medical Center, Presbyterian Medical Center, University of Pennsylvania Health System, Philadelphia, PA, USA.
J Foot Ankle Surg. 2003 Jul-Aug;42(4):173-7. doi: 10.1016/s1067-2516(03)70025-8.
Eighty-two patients with a chief complaint of plantar heel pain were evaluated for sensory abnormalities within the cutaneous distribution of both the medial calcaneal nerve and the medial plantar nerve, using quantitative neurosensory testing with a pressure-specified sensory device. The results showed that 22.68% of the patients displayed isolated abnormal sensory function within the distribution of the medial calcaneal nerve, whereas 49.48% of the patients displayed abnormal function within the distribution of both the medial calcaneal and the medial plantar nerves. Thus, 72.17% of the patients displayed abnormal sensory function within the distribution of the medial calcaneal nerve. Statistical analysis of the results, using the Pearson chi-square statistic and odds ratio, indicated that a significant percentage of patients with plantar heel pain, even early in the clinical course of plantar heel pain, display abnormal sensibility within the branches of the posterior tibial nerve, and specifically, within the distribution of the medial calcaneal nerve (P <.0008) and the medial plantar nerve (P <.0001).
对82例以足跟底部疼痛为主诉的患者，使用压力特定感觉装置进行定量神经感觉测试，评估其在跟内侧神经和足底内侧神经皮肤分布区域内的感觉异常情况。结果显示，22.68%的患者在跟内侧神经分布区域内表现出孤立的异常感觉功能，而49.48%的患者在跟内侧神经和足底内侧神经分布区域内均表现出异常功能。因此，72.17%的患者在跟内侧神经分布区域内表现出异常感觉功能。使用Pearson卡方统计量和优势比进行结果的统计分析表明，相当比例的足跟底部疼痛患者，即使在足跟底部疼痛临床病程的早期，在胫后神经分支内，特别是在跟内侧神经（P <.0008）和足底内侧神经（P <.0001）分布区域内，表现出感觉异常。
