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运动员的慢性跟骨疼痛:跟骨神经卡压?

Chronic calcaneal pain in athletes: entrapment of the calcaneal nerve?

作者信息

Henricson A S, Westlin N E

出版信息

Am J Sports Med. 1984 Mar-Apr;12(2):152-4. doi: 10.1177/036354658401200212.

DOI:10.1177/036354658401200212
PMID:6742290
Abstract

In 11 heels in 10 athletes with chronic heel pain unrelieved by conservative therapy, the symptoms and physical findings caused a suspicion of entrapment of the calcaneal branches of the tibial nerve. The nerves were, therefore, surgically decompressed. No macroscopic signs of compression of the nerves were noted, but an entrapment of the anterior calcaneal branch could occur where the nerve passes between the tight and rigid edge of the deep fascia of the abductor hallucis and the medial edge of the os calcis. Followup of 58 months after surgery revealed that 10 of the 11 heels were asymptomatic and the patients had resumed athlete participation after an average of 5 weeks.

摘要

在10名患有慢性足跟疼痛且保守治疗无效的运动员中,有11只足跟出现症状和体征,怀疑是胫神经跟骨分支受压。因此,对这些神经进行了手术减压。术中未发现神经受压的宏观迹象,但在拇展肌深筋膜的紧张且坚硬边缘与跟骨内侧边缘之间神经通过处,可能发生跟骨前支受压。术后58个月的随访显示,11只足跟中有10只无症状,患者平均在5周后恢复了运动员活动。

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