Kothari Ezan A, Padgett Anthony M, Young Sean M, Ray Jessyca, Shah Ashish, Conklin Michael J
Orthopaedic Surgery, University of Alabama at Birmingham School of Medicine, Birmingham, USA.
Cureus. 2023 Jan 26;15(1):e34228. doi: 10.7759/cureus.34228. eCollection 2023 Jan.
The objective of this review article is to provide orthopaedic surgeons and general practitioners a reference and guidance for the evaluation and workup of heel pain in pediatric patients. The authors performed a comprehensive literature search to review the etiologies and management of heel pain in patients <18 years of age. Relevant studies in Medline/PubMed and EMBASE were searched from inception to March 3, 2022 using medical subject headings and text words without limitations on language or study type. The initial search utilized the following Boolean operators: (children) AND (heel pain); (pediatric) AND (heel pain). Heel pain in the pediatric population is usually a benign condition. Sever's apophysitis is the most common etiology of heel pain in pediatric patients. Most causes of heel pain in the pediatric population do not require imaging or extensive workup. However, providers must maintain a high index of suspicion for symptoms that could indicate a more severe pathology.
这篇综述文章的目的是为骨科医生和全科医生提供评估和检查儿科患者足跟痛的参考和指导。作者进行了全面的文献检索,以回顾18岁以下患者足跟痛的病因和治疗方法。使用医学主题词和文本词,对Medline/PubMed和EMBASE中从创刊到2022年3月3日的相关研究进行了检索,对语言或研究类型没有限制。最初的检索使用了以下布尔运算符:(儿童)AND(足跟痛);(儿科)AND(足跟痛)。儿科人群中的足跟痛通常是一种良性病症。Sever骨骺炎是儿科患者足跟痛最常见的病因。儿科人群中足跟痛的大多数病因不需要影像学检查或广泛的检查。然而,医疗服务提供者必须对可能表明存在更严重病理状况的症状保持高度怀疑。