Aboukrat P
Service central de rééducation fonctionnelle, CHU, hôpital Lapeyronie, Montpellier.
Rev Prat. 1997 Jan 1;47(1):56-61.
Tendinitis of the foot is frequent and is generally due to mechanical overload or inflammatory rheumatic disorders. It most often involves the posterior tibial tendon when obesity and calcaneus valgus combine to contribute to mechanical overwork, or in the early stages of rheumatoid arthritis. More rarely, the anterior tibial tendon or the fibular tendons are involved. The anatomic-clinical stages proceed from oedema to fissuration necrosis and ruptured tendon. The long-term risk is of a sinking internal arch and a fixed calcaneus valgus. A simple but effective treatment is the correction of the calcaneus valgus, but surgical arthrodesis may be necessary.
足部肌腱炎很常见,通常是由机械性过载或炎性风湿性疾病引起的。当肥胖与跟骨外翻共同导致机械性过度劳损时,或者在类风湿性关节炎的早期阶段,最常累及胫后肌腱。更罕见的情况下,胫前肌腱或腓骨肌腱会受累。解剖临床分期从水肿发展到裂隙性坏死和肌腱断裂。长期风险是内侧足弓下陷和固定性跟骨外翻。一种简单但有效的治疗方法是矫正跟骨外翻,但可能需要进行手术关节融合术。