Barouk Pierre, Barouk Louis Samuel
Foot Surgery Center of the Sport Clinic, 2 Rue Georges Nègrevergne, Merignac 33700, France.
39 Chemin de la Roche, Yvrac 33370, France.
Foot Ankle Clin. 2014 Dec;19(4):659-67. doi: 10.1016/j.fcl.2014.08.004. Epub 2014 Sep 26.
The diagnosis of gastrocnemius tightness is primarily clinical using the Silfverskiold test, which shows an equinus deformity at the ankle with the knee extended but that disappears with the knee flexed. The manner in which the Silfverskiold test is performed must be consistent with respect to the applied strength of the maneuver, correction of a flexible hindfoot valgus deformity while performing the test, and reproducibility. Although this is a diagnosis based on the clinical examination, this article presents additional clinical signs that can help to make the diagnosis when the retraction is not clinically evident. These include knee recurvatum, hip flexion, lumbar hyperlordosis, and forefoot overload.
腓肠肌紧张的诊断主要依靠临床检查，采用西尔弗斯基öld试验，该试验显示在膝关节伸直时踝关节呈马蹄足畸形，但在膝关节屈曲时畸形消失。西尔弗斯基öld试验的操作方式在手法施加力度、检查时矫正柔性后足外翻畸形以及可重复性方面必须保持一致。虽然这是基于临床检查的诊断，但本文介绍了一些额外的临床体征，当回缩在临床上不明显时，这些体征有助于做出诊断。这些体征包括膝反屈、髋关节屈曲、腰椎前凸过度和前足负荷过重。
