Division of Orthopaedic Surgery, Albany Medical Center, Albany Medical College, MC184, 1367 Washington Avenue, Suite 202, Albany, NY 12206, USA.
Albany Medical College, MC184, 1367 Washington Avenue, Suite 202, Albany, NY 12206, USA.
Med Clin North Am. 2014 Mar;98(2):181-204. doi: 10.1016/j.mcna.2013.10.001. Epub 2013 Dec 18.
Most foot and ankle disorders can be diagnosed after a proper history and clinical examination and can be effectively managed in a primary care setting. It is important to assess the entirety of patient disorders that present as they can be multifactorial in cause. A broad differential should include disorders of bones, joints, muscles, neurovasculature, and surrounding soft tissue structures. Physical examination should be thorough and focused on inspection, palpation, range of motion, and appropriate special tests when applicable. This article highlights some of the salient features of the foot and ankle examination and diagnostic considerations.
大多数足部和踝关节疾病在经过适当的病史采集和临床检查后即可诊断,并可在初级保健环境中得到有效治疗。评估患者表现出的所有疾病非常重要,因为这些疾病的病因可能是多方面的。广泛的鉴别诊断应包括骨骼、关节、肌肉、神经血管和周围软组织结构的疾病。体格检查应全面,并重点进行检查、触诊、活动范围以及在适用时进行适当的特殊检查。本文重点介绍了足部和踝关节检查的一些显著特征和诊断注意事项。