J Athl Train. 1996 Jan;31(1):61-4.
A 19-year-old, white female, college freshman cross-country runner presented to the athletic training center complaining of bilateral plantar foot pain 1 week into the cross-country season. She had been treated for bilateral plantar fasciitis twice in the previous 3 years, and initial evaluation suggested a recurrence. A failure to respond to treatment led us to suspect other causes. Subsequent diagnostic imaging (bone scan, CT scan) revealed bilateral navicular stress fractures. Navicular stress fractures are probably more common than once believed. This case study describes the course of evaluation and treatment in relation to the common presentation, etiology, problems of diagnosis, and treatment of navicular stress fractures.
一位 19 岁的白人女性,大学新生,参加越野赛跑。她在越野赛季开始后的第 1 周来到运动训练中心,主诉双侧足底疼痛。在过去的 3 年中,她曾两次接受双侧足底筋膜炎治疗,初步评估表明病情复发。由于治疗没有效果,我们怀疑可能有其他原因。随后的诊断性影像学检查(骨扫描、CT 扫描)显示双侧舟状骨应力性骨折。舟状骨应力性骨折可能比以前认为的更为常见。本病例研究描述了与常见表现、病因、诊断问题以及舟状骨应力性骨折治疗相关的评估和治疗过程。