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跟骨骨刺:一种可能使人衰弱的病症。

Calcaneal Spurs: A Potentially Debilitating Disorder.

作者信息

Velagala Vivek R, Velagala Namrata R, Kumar Tanishq, Singh Arihant, Mehendale Ashok M

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Preventive Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Aug 28;14(8):e28497. doi: 10.7759/cureus.28497. eCollection 2022 Aug.

DOI:10.7759/cureus.28497
PMID:36185871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9514376/
Abstract

Feet are often the most neglected part of the body, all the while being the highly dependent part of daily work and mobility. The lack of attention to them can lead to painful conditions such as calcaneal spurs and associated conditions. Calcaneal spurs are bony projections that form around the calcaneal bone, the strongest, most significant, and posterior-most bone in the feet. The classic symptom of the calcaneal spur is talalgia, commonly known as heel pain. There are many causes of heel pain, which are usually associated with calcaneal spurs. Hence it becomes imperative to diagnose and treat them effectively. The development of calcaneal spur is shrouded in mystery, and why a few individuals are more prone to developing the condition than others depends on their gender, age, occupation, and lifestyle. Calcaneal spurs are seen in association with many diseases. It is also regarded as the etiological factor in plantar fasciitis and increasing body weight and as a complication in arthropathies, Gout, pes cavus, and pes planus. This review article aims to highlight a relationship between those factors while also summarizing the treatment modalities present today. Hence, it promotes the usage of a model for administering treatment based on a tier-wise follow-up procedure, where the response to a particular treatment is recorded. If it does not resolve the spur, the treatment progresses to the next tier. This review article hopes to shed light on the understanding and treatment of calcaneal spurs.

摘要

足部常常是身体最易被忽视的部位,然而它却是日常活动和行动高度依赖的部分。对足部缺乏关注会导致诸如跟骨骨刺及相关病症等疼痛状况。跟骨骨刺是在跟骨周围形成的骨质突出物,跟骨是足部最强壮、最重要且位于最靠后的骨头。跟骨骨刺的典型症状是足跟痛,通常称为足跟疼痛。足跟疼痛有多种成因,通常与跟骨骨刺相关。因此,有效诊断和治疗这些病症变得至关重要。跟骨骨刺的形成原因尚不明朗,为何一些人比其他人更容易患上这种病症取决于他们的性别、年龄、职业和生活方式。跟骨骨刺与许多疾病相关。它也被视为足底筋膜炎、体重增加的病因,以及关节病、痛风、高弓足和平足症的并发症。这篇综述文章旨在突出这些因素之间的关系,同时总结当前现有的治疗方式。因此,它提倡使用一种基于分级随访程序的治疗管理模式,记录对特定治疗的反应。如果不能消除骨刺,治疗就进入下一级别。这篇综述文章希望能增进对跟骨骨刺的理解和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/49a346655e8c/cureus-0014-00000028497-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/d6b1baaaa469/cureus-0014-00000028497-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/8b3967756d39/cureus-0014-00000028497-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/49a346655e8c/cureus-0014-00000028497-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/d6b1baaaa469/cureus-0014-00000028497-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/8b3967756d39/cureus-0014-00000028497-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef3/9514376/49a346655e8c/cureus-0014-00000028497-i03.jpg

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本文引用的文献

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Fluoroscopic and Endoscopic Calcaneal Spur Resection Without Plantar Fascial Release for Recalcitrant Plantar Fasciitis.不进行足底筋膜松解的透视及内镜下跟骨骨刺切除术治疗顽固性足底筋膜炎
Foot Ankle Orthop. 2022 Jun 21;7(2):24730114221108104. doi: 10.1177/24730114221108104. eCollection 2022 Apr.
2
Effectiveness of Gastrocnemius-Soleus Stretching Program as a Therapeutic Treatment of Plantar Fasciitis.腓肠肌-比目鱼肌拉伸计划作为足底筋膜炎治疗方法的有效性
Cureus. 2022 Feb 23;14(2):e22532. doi: 10.7759/cureus.22532. eCollection 2022 Feb.
3
Low-dose radiation treatment for painful plantar enthesophyte: a highly effective therapy with little side effects.
低剂量辐射治疗足底附着点疼痛:一种疗效显著、副作用小的治疗方法。
Eur J Med Res. 2022 Feb 23;27(1):28. doi: 10.1186/s40001-022-00642-x.
4
Effects of intralesional pulsed radiofrequency treatment on pain in patients with calcaneal spur: results of 460 patients.经皮脉冲射频治疗跟骨骨刺患者疼痛的疗效:460 例患者的结果。
BMC Musculoskelet Disord. 2021 Dec 10;22(1):1033. doi: 10.1186/s12891-021-04926-x.
5
Chronic plantar heel pain modifies associations of ankle plantarflexor strength and body mass index with calcaneal bone density and microarchitecture.慢性足底跟痛改变了踝关节跖屈肌力量和身体质量指数与跟骨骨密度和微结构的关联。
PLoS One. 2021 Dec 9;16(12):e0260925. doi: 10.1371/journal.pone.0260925. eCollection 2021.
6
Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in calcaneal spur treatment: A prospective, randomized, clinical study.低强度激光疗法与体外冲击波疗法治疗跟骨骨刺的效果比较:一项前瞻性、随机、临床研究。
Turk J Phys Med Rehabil. 2021 May 25;67(2):218-224. doi: 10.5606/tftrd.2021.5260. eCollection 2021 Jun.
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The frequency of Achilles and plantar calcaneal spurs in gout patients.痛风患者的跟腱和足底跟骨骨刺的频率。
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