• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Medicine. >Ultrasound follow-up of spontaneous tears of the plantar fascia treated with conservative therapies: Two case reports
【24h】

Ultrasound follow-up of spontaneous tears of the plantar fascia treated with conservative therapies: Two case reports

机译：用保守疗法治疗的跖骨筋膜自发泪液的超声跟进：两种情况报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Rationale: The plantar fascia (PF) is an important anatomical structure that stabilizes the longitudinal arch of the foot. While plantar fasciitis is a common pathology affecting the foot, tears of the PF are uncommon injuries characterized by acute pain in the plantar aspect of the foot. The main purpose of this paper was to describe, in detail, how the ultrasonographic pattern of PF rupture can be combined with the clinical features to define the prognosis and promptly plan the therapeutic approach. Patient concerns: In the first case, a 39-year-old male patient was seen due to acute pain in the mid plantar foot which appeared 3 days after a tennis match. The pain was accompanied by a “snap” noise and intense pain. In the second case, a 44-year-old male patient was seen due to pain in the heel region which appeared 2 days after a running session. Diagnosis: One case of noninsertional complete tear of the central bundle of the PF with retraction of the 2 stumps and 1 case of partial tear of the central bundle of the PF at the level of the insertional region. Interventions: Both patients were treated with conservative therapies including load management, oral nonsteroidal anti-inflammatory drugs, foot orthosis, and restriction of sport activities. Outcomes: At follow-up , the patient with spontaneous complete tear of the PF (noninsertional area) showed a small fibrous bridge between the 2 stumps, with partial alignment of the proximal and distal portions, the ability to walk for a medium to long-distance, and difficulty going up and downstairs. The patient with the spontaneous partial tear (insertional area) showed complete fibrous scar tissue with restoration of the fascial continuity, and the ability to walk for a long-distance and go up and downstairs without pain. Lessons: Based on the clinical and ultrasonographic findings, we suggest that partial tear of the PF in the insertional region presents a favorable prognosis with complete recovery, both clinically and anatomically, while a complete tear in the noninsertional region is associated with partial functional and histological recovery when managed with a conservative approach. Therefore, coupling the clinical findings with the sonohistologic pattern is a valuable approach to plan the most suitable treatment for patients with spontaneous PF tear.
机译：理由：Purtorar筋膜（PF）是一种重要的解剖结构，稳定脚的纵向拱。虽然跖筋炎是一种影响脚的常见病理学，但PF的泪水是徒步脚跖骨方面的急性疼痛的罕见伤害。本文的主要目的是详细描述PF破裂的超声波模式如何与临床特征结合，以定义预后并及时计划治疗方法。患者担忧：在第一次案例中，由于在网球比赛后3天出现了3天的血小板脚的急性疼痛，看到了39岁的男性患者。痛苦伴随着“快速”噪音和强烈的疼痛。在第二种情况下，由于在运行会议后2天出现的脚跟区域，由于休息区的疼痛而看到了一个44岁的男性患者。诊断：一种案例的一个例外的PF中央捆绑的闭合，具有2个树桩的缩回和1例的插入区域水平的中央束的部分撕裂。干预措施：两位患者都用保守疗法治疗，包括负荷管理，口腔非甾体抗炎药，脚矫形器和体育活动的限制。结果：在随访中，PF的自发性完全撕裂的患者（非内在区域）显示了2个树桩之间的小纤维桥，具有近端和远端部分的部分对准，能够走向介质的能力 - 距离，难度上楼和楼下。具有自发部分撕裂（插入区域）的患者显示完全纤维的瘢痕组织，恢复迷恋连续性，以及在没有疼痛的情况下走向长距离的能力。课程：基于临床和超声检查结果，我们建议插入区域中PF的部分撕裂具有良好的预后，临床和解剖学均完全恢复，而非关键区域中的完全撕裂与部分功能和组织学相关以保守方法管理时恢复。因此，用SONOHILIC图案耦合临床发现是一种有价值的方法，可以为自发PF撕裂患者计划最合适的治疗方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号