足底筋膜炎：当前概念综述

Plantar fasciopathy: A current concepts review.

作者信息

Monteagudo Manuel, de Albornoz Pilar Martínez, Gutierrez Borja, Tabuenca José, Álvarez Ignacio

机构信息

Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain.

出版信息

EFORT Open Rev. 2018 Aug 29;3(8):485-493. doi: 10.1302/2058-5241.3.170080. eCollection 2018 Aug.

Plantar fasciopathy is very prevalent, affecting one in ten people in their lifetime.Around 90% of cases will resolve within 12 months with conservative treatment.Gastrocnemius tightness has been associated with dorsiflexion stiffness of the ankle and plantar fascia injury.The use of eccentric calf stretching with additional stretches for the fascia is possibly the non-operative treatment of choice for chronic plantar fasciopathy.Medial open release of approximately the medial third of the fascia and release of the first branch of the lateral plantar nerve has been the most accepted surgical treatment for years.Isolated proximal medial gastrocnemius release has been reported for refractory plantar fasciopathy with excellent results and none of the complications of plantar fasciotomy. Cite this article: 2018;3:485-493. DOI: 10.1302/2058-5241.3.170080.

足底筋膜炎非常普遍，一生中每十人中就有一人受其影响。约90%的病例通过保守治疗可在12个月内痊愈。腓肠肌紧张与踝关节背屈僵硬及足底筋膜损伤有关。采用针对筋膜的额外拉伸进行离心性小腿拉伸可能是慢性足底筋膜炎的非手术治疗首选方法。多年来，对约三分之一内侧筋膜进行内侧开放性松解以及松解足底外侧神经第一分支一直是最被认可的手术治疗方法。对于难治性足底筋膜炎，已有报道采用单独的近端内侧腓肠肌松解术，效果极佳，且无足底筋膜切开术的并发症。引用本文：2018;3:485 - 493。DOI: 10.1302/2058 - 5241.3.170080。