Suzue Naoto, Iwame Toshiyuki, Kato Kenji, Takao Shoichiro, Tateishi Tomohiko, Takeda Yoshitsugu, Hamada Daisuke, Goto Tomohiro, Takata Yoichiro, Matsuura Tetsuya, Sairyo Koichi
Department of Orthopedics, the University of Tokushima.
J Med Invest. 2014;61(3-4):413-6. doi: 10.2152/jmi.61.413.
We report the case of a 29-year-old male professional soccer player who presented with symptoms of plantar fasciitis. His symptoms occurred with no remarkable triggers and gradually worsened despite conservative treatments including taping, use of insoles, and physical therapy. Local corticosteroid injection was given twice as a further intervention, but his plantar fascia partially ruptured 49 days after the second injection. He was treated conservatively with platelet-rich plasma, and magnetic resonance imaging showed regenerative change of the ruptured fascia. Five months after the rupture, he returned to his original level of training. If professional athletes find it difficult to refrain from athletic activity, as in the present case, the risk of rupture due to corticosteroid injection should not be overlooked.
我们报告了一例29岁男性职业足球运动员足底筋膜炎的病例。他的症状无明显诱因出现,尽管采取了包括贴扎、使用鞋垫和物理治疗在内的保守治疗措施,症状仍逐渐加重。作为进一步干预措施,局部注射了两次皮质类固醇,但在第二次注射后49天,他的足底筋膜部分破裂。他接受了富含血小板血浆的保守治疗,磁共振成像显示破裂的筋膜有再生变化。破裂五个月后,他恢复到了原来的训练水平。如果职业运动员像本例这样难以避免体育活动,那么不应忽视皮质类固醇注射导致破裂的风险。