Vasiliadis Angelo V, Kazas Christos, Tsatlidou Maria, Vazakidis Polychronis, Metaxiotis Dimitrios
2nd Orthopaedic Department, General Hospital of Thessaloniki "Papageorgiou", Thessaloniki, GRC.
Orthopaedic Department, General Hospital of Thessaloniki "Papageorgiou", Thessaloniki, GRC.
Cureus. 2021 Aug 29;13(8):e17537. doi: 10.7759/cureus.17537. eCollection 2021 Aug.
Running is an athletic activity that is increasingly gaining popularity. Despite its benefits, there are many suspected risk factors for running-related overuse injuries. The objective of this study is to describe injuries and clinical symptoms observed on the sole of the foot in runners, giving special attention to the weekly running volume. The literature presented in this narrative review is based on a non-systematic search of the Medline, Google Scholar, and ResearchGate databases and focuses on foot injuries (the full spectrum of the foot pathology from bones to tendons and plantar fascia, nerve, and joint disorders) in runners, which represents an important topic for both professional and recreational runners. The weekly running distance appeared to be one of the strongest predictors for future overuse injuries. Marathon training and average weekly running of over 20 km are possible predictive factors in the development of plantar foot injuries. The plantar medial aspect of the foot is the anatomic area of the foot that most frequently experiences pain, with numerous pathologic conditions. As a result, diagnosis is always a challenging task. The ability to obtain an accurate medical history and carefully perform a physical examination, together with good knowledge of the foot anatomy and kinesiology, are also proven to be key players in ensuring proper diagnosis.
跑步是一项越来越受欢迎的体育活动。尽管它有诸多益处，但与跑步相关的过度使用损伤存在许多疑似风险因素。本研究的目的是描述跑步者足底观察到的损伤和临床症状，特别关注每周的跑步量。本叙述性综述中呈现的文献基于对Medline、谷歌学术和ResearchGate数据库的非系统检索，重点关注跑步者的足部损伤（从骨骼到肌腱、足底筋膜、神经和关节疾病的足部病理全谱），这对专业和业余跑步者来说都是一个重要话题。每周的跑步距离似乎是未来过度使用损伤最强的预测因素之一。马拉松训练和每周平均跑步超过20公里可能是足底损伤发生的预测因素。足底内侧是足部最常出现疼痛的解剖区域，有多种病理状况。因此，诊断始终是一项具有挑战性的任务。事实证明，获取准确病史并仔细进行体格检查的能力，以及对足部解剖学和运动学的充分了解，也是确保正确诊断的关键因素。
