Toral Guisasola I, Formigo Couceiro J, Alonso Bidegain M
Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de A Coruña, A Coruña, Galicia, España.
Servicio de Medicina Física y Rehabilitación, Complexo Hospitalario Universitario de A Coruña, A Coruña, Galicia, España.
Rehabilitacion (Madr). 2020 Oct-Dec;54(4):292-295. doi: 10.1016/j.rh.2020.04.006. Epub 2020 Jul 15.
Chronic or recalcitrant plantar fasciitis is a cause of persistent plantar pain. These cases are usually resistant to conventional treatments consisting of exercises, orthoses, shock waves and infiltrations and require a surgical approach. Proximal medial gastrocnemius release is a surgical option that provides satisfactory results, but is not free of complications, which include injuries and nerve entrapment. We report the first published case of symptomatic medial gastrocnemius branch entrapment in the post-surgical scar of a tenotomy for the treatment of recalcitrant plantar fasciitis. We propose ultrasound-guided hydrodissection with local anesthetic as a treatment with promising results.
慢性或顽固性足底筋膜炎是导致持续性足底疼痛的原因。这些病例通常对包括锻炼、矫形器、冲击波和注射在内的传统治疗有抵抗性，需要采取手术方法。腓肠肌内侧头近端松解术是一种能提供满意效果的手术选择，但并非没有并发症，其中包括损伤和神经卡压。我们报告了首例已发表的在治疗顽固性足底筋膜炎的腱切断术后瘢痕中出现症状性腓肠肌内侧头肌支卡压的病例。我们提出用超声引导下局部麻醉水分离法作为一种有前景的治疗方法。
