Department of Orthopedics, Royal Orthopaedic Hospital, Birmingham, UK.
Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.
Br J Radiol. 2021 Feb 1;94(1118):20200648. doi: 10.1259/bjr.20200648. Epub 2020 Oct 15.
The heel fat pad (HFP) is a specialized soft tissue structure formed of adipose tissue that overlies the inferior and posterior aspect of the calcaneus and provides the cushioning effect of the heel. Lesions of the HFP are rare and can be a cause of debilitating heel pain that may often pose a challenge to clinicians. This study provides a series of lesions identified within the HFP.
A retrospective review of heel pad lesions over a 12 year period was conducted at our tertiary orthopaedic oncology centre. All lesions of the heel fat pad were included in the study. Plantar fasciitis was excluded.
There were 17 heel pad lesions identified, of which the majority (n = 15) were benign.
We highlight a wide spectrum of pathologies that can occur in the HFP. Although rare, clinicians should be aware of these lesions, to initiate appropriate management.
足跟脂肪垫(HFP)是一种由脂肪组织形成的特殊软组织结构,位于跟骨的下后部,提供足跟的缓冲作用。HFP 的病变很少见,但可能是导致足跟疼痛的原因,这种疼痛常常会给临床医生带来挑战。本研究提供了一系列在 HFP 中发现的病变。
在我们的三级骨科肿瘤中心,对 12 年来足跟垫病变进行了回顾性研究。所有足跟脂肪垫的病变均包括在研究中。足底筋膜炎被排除在外。
共发现 17 例足跟垫病变,其中大部分(n=15)为良性病变。
我们强调了 HFP 中可能发生的广泛的病理变化。尽管罕见,但临床医生应该了解这些病变,以便进行适当的治疗。