技术报告：利用拇趾背屈对足底筋膜炎和足底筋膜撕裂进行动态评估
Technical report: dynamic assessment of plantar fasciitis and plantar fascia tears utilising dorsiflexion of the great toe.
作者信息
Kho James S B, Almeer Ghassan, McGarry Sharon, James Steven L, Botchu Rajesh
机构信息
Department of Radiology, The Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham, B31 2AP, UK.
出版信息
J Ultrasound. 2020 Sep;23(3):397-400. doi: 10.1007/s40477-019-00411-3. Epub 2019 Nov 13.
Abstract
Discrimination between plantar fasciitis and partial tears of the plantar fascia can be difficult on ultrasound given laxity of the plantar fascia in the region of its calcaneal insertion and anisotropy. Dynamic assessment with great toe dorsiflexion can improve visualisation of the proximal portion of the plantar fascia on ultrasound, by straightening the plantar fascia due to the windlass mechanism. This article describes the technique and its anatomical basis.
摘要
鉴于足底筋膜在跟骨附着区域的松弛和各向异性，在超声检查中区分足底筋膜炎和足底筋膜部分撕裂可能具有挑战性。通过趾背屈进行动态评估，可利用绞盘机制拉直足底筋膜，从而改善超声对足底筋膜近端部分的可视化。本文介绍了该技术及其解剖学基础。
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