Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Orthopaedic Surgery, Dr. BSA Medical College, Delhi, India.
Postgrad Med. 2021 Apr;133(3):320-329. doi: 10.1080/00325481.2021.1873581. Epub 2021 Jan 18.
Patients with foot pain commonly present to their primary care physicians for their initial management and treatment. These patients and their respective foot or lesser toe pain can present the physician with a complex problem with a long differential list. Depending on the timing of the pain and underlying pathology, these differentials can be divided into acute and acute exacerbation of chronic conditions. This review categorizes the history, physical exam, radiological findings, conservative treatment, and surgical management for each major cause of lesser toe pain, whether acute or chronic. The acute conditions surrounding lesser toe pain in the adult population discussed are toe fractures, toe dislocations, and metatarsal head and neck fractures. The chronic pathologies surrounding lesser toe pain in the adult population evaluated in this review include metatarsalgia, Morton's neuroma, Freiberg infraction, brachymetatarsia, bunionettes, and lesser toe disorders.
患有足部疼痛的患者通常会向初级保健医生寻求初步的管理和治疗。这些患者及其相应的足部或小趾疼痛可能会给医生带来一个复杂的问题，需要考虑一个长长的鉴别诊断列表。根据疼痛的时间和潜在的病理，这些鉴别诊断可以分为急性和慢性疾病的急性加重。本文综述了小趾疼痛的主要原因的病史、体格检查、影像学发现、保守治疗和手术治疗，无论其为急性或慢性。本文讨论了成人小趾疼痛的急性情况，包括趾骨骨折、趾骨脱位和跖骨头颈骨折。评估成人小趾疼痛的慢性病理包括跖痛症、莫顿神经瘤、弗莱伯格骨软骨炎、短趾畸形、副舟骨和小趾疾病。
