Australasian College of Podiatric Surgeons, Victoria, Australia.
Discipline of Podiatry, School of Allied Health, La Trobe University, Victoria, Australia.
Phlebology. 2021 Mar;36(2):160-162. doi: 10.1177/0268355520953327. Epub 2020 Aug 25.
Plantar vein thrombosis is an uncommon and under-diagnosed cause of plantar foot pain characterised by the formation of a blood clot (thrombus) within one of the plantar veins. There is no current diagnostic guideline for this condition however compression ultrasound and magnetic resonance imaging appear suitable. Treatments range from rest and non-steroidal anti-inflammatory drugs to six months of anticoagulant therapy. A 51-year old female was referred reporting a two-week history of left heel pain suspicious of plantar fasciitis. Ultrasonography and Magnetic Resonance Imaging showed thickening and expansion of the lateral plantar vein. The patient's symptoms disappeared following two weeks of non-steroidal anti-inflammatory medication and compression therapy, and follow-up ultrasound six weeks later showed recanalisation of the lateral plantar vein.
足底静脉血栓形成是一种不常见且诊断不足的足底疼痛病因，其特征是足底静脉内形成血栓（血栓）。目前尚无针对这种情况的诊断指南，但是压缩超声和磁共振成像似乎适用。治疗方法从休息和非甾体抗炎药到六个月的抗凝治疗不等。一名 51 岁女性因左足跟疼痛（疑似足底筋膜炎）就诊。超声和磁共振成像显示外侧足底静脉增厚和扩张。患者在接受两周的非甾体抗炎药和压缩治疗后症状消失，六周后的随访超声显示外侧足底静脉再通。
