Schwitzguebel Adrien J-P, Paulin Emilie Nicodème, Meena Amit
Division of Sports Medicine, La Providence Hospital, Faubourg de l'hôpital 81, 2000, Neuchâtel, Switzerland.
Division of Radiology, Réseau Hospitalier Neuchâtelois, Maladière 45, 2000, Neuchâtel, Switzerland.
J Clin Orthop Trauma. 2022 Aug 9;32:101985. doi: 10.1016/j.jcot.2022.101985. eCollection 2022 Sep.
Plantaris tendon (PT) might induce calf or Achilles pain. In this case report, a 59-year-old woman presented with axial instability of plantaris tendon; post Achilles tendon lengthening. She beneficiated from a needle tenotomy of the PT and had a prompt symptom alleviation. The patient was fully satisfied and had a SANE score of 95% at 12 months follow up and was able to return to moderate sports activities without limitations (hiking, Nordic walking). The instability of the PT might be considered for the differential diagnosis of medial calf pain for which needle tenotomy may be considered a valuable option.
跖肌腱（PT）可能会引发小腿或跟腱疼痛。在本病例报告中，一名59岁女性在跟腱延长术后出现跖肌腱轴向不稳定。她接受了跖肌腱针刀切开术，症状迅速缓解。患者非常满意，在12个月的随访中SANE评分为95%，并且能够不受限制地恢复适度的体育活动（徒步旅行、越野行走）。对于小腿内侧疼痛的鉴别诊断，可能需要考虑跖肌腱不稳定的情况，而针刀切开术可能是一种有价值的选择。
