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传统治疗后持续存在的 Haglund 病:放射治疗的创新作用。

Persistent Haglund's disease after conventional treatments: the innovative role of radiotherapy.

作者信息

di Chio Francesca, Cecere Annagrazia, Troiano Michele, Mardighian Andrea, Parisi Salvatore, Guglielmi Giuseppe

机构信息

Department of Radiology, University of Foggia, Foggia, Italy.

Department of Radiation Oncology, Scientific Institute Hospital "Casa Sollievo della Sofferenza", San Giovanni Rotondo (FG), Italy.

出版信息

BJR Case Rep. 2016 May 5;2(2):20150272. doi: 10.1259/bjrcr.20150272. eCollection 2016.

DOI:10.1259/bjrcr.20150272
PMID:30363604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6180870/
Abstract

Haglund's disease, an inflammation of the retrocalcaneal bursa and a bone enlargement on the back of the heel, is a painful syndrome mainly caused by the exostotic prominence of the posterior calcaneus. Conventional treatment consists of rest, shoewear modification, medical therapy and, in selected cases, surgery. We report the case of a 59-year-old male with a history of severe atraumatic monolateral heel pain treated with foot orthotics, rest and surgery with partial regression of symptoms. Owing to the persistent heel pain and physical impairment after surgery, the patient underwent radiotherapy, which was successful in relieving his symptoms.

摘要

哈格伦德氏病是一种跟腱后滑囊炎及足跟后部骨质增生的炎症,是一种主要由跟骨后部外生骨疣突出引起的疼痛综合征。传统治疗方法包括休息、修改鞋具、药物治疗,在特定病例中还包括手术。我们报告了一例59岁男性患者,有严重非创伤性单侧足跟疼痛病史,接受了足部矫形器、休息和手术治疗,症状部分缓解。由于术后足跟疼痛持续且存在身体功能障碍,该患者接受了放射治疗,成功缓解了症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/f9490c4e4e74/bjrcr.20150272.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/c929c1fb15c1/bjrcr.20150272.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/6e2630c44ff3/bjrcr.20150272.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/d95926ce7489/bjrcr.20150272.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/aa2b8b5a260f/bjrcr.20150272.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/723dd0cfa300/bjrcr.20150272.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/f9490c4e4e74/bjrcr.20150272.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/c929c1fb15c1/bjrcr.20150272.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/6e2630c44ff3/bjrcr.20150272.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/d95926ce7489/bjrcr.20150272.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/aa2b8b5a260f/bjrcr.20150272.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/723dd0cfa300/bjrcr.20150272.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8500/6180870/f9490c4e4e74/bjrcr.20150272.g006.jpg

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本文引用的文献

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Endoscopic calcaneoplasty.内镜下跟骨成形术。
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Radiographic, clinical, and magnetic resonance imaging analysis of insertional Achilles tendinopathy.跟腱止点性肌腱病的影像学、临床及磁共振成像分析
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Haglund综合征会被误诊为腰痛吗?物理治疗直接问诊病例报告的结果
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