Carolinas Medical Center, Charlotte, North Carolina.
Sports Health. 2009 Sep;1(5):427-34. doi: 10.1177/1941738109338357.
Heel pain, a relatively common problem in the athlete, can present a diagnostic and therapeutic dilemma. The purpose of this article is to review treatment techniques for common causes of heel pain in the athlete.
Articles in the English literature through August 2008 were selected and reviewed in the context of the management of heel pain in the athlete. Clinical and surgical photographs are presented as an illustration of preferred techniques and pertinent pathologic findings.
Although nonoperative treatment remains the mainstay for most painful heel pathologies, a number of surgical interventions have shown encouraging results in carefully selected patients.
The management of heel pain in the athlete requires diagnostic skill, appropriate imaging evaluation, and a careful, initially conservative approach to treatment. Surgical treatment can be successful in carefully selected patients.
足跟痛在运动员中较为常见,这会给诊断和治疗带来困难。本文的目的是回顾治疗运动员足跟痛常见病因的方法。
选择了截至 2008 年 8 月的英文文献,并结合运动员足跟痛的治疗进行了综述。为了说明优选技术和相关病理发现,呈现了临床和手术照片。
虽然大多数有疼痛的足跟病变仍以非手术治疗为主,但一些手术干预措施在精心选择的患者中取得了令人鼓舞的结果。
运动员足跟痛的治疗需要诊断技能、适当的影像学评估,以及仔细的、初始的保守治疗方法。手术治疗可以在精心选择的患者中取得成功。