[1]王炯 吴永光△.钻孔减压结合镜下磨削术治疗跟痛症29例[J].中国中医骨伤科杂志,2021,29(02):64-66.
 WANG Jiong WU Yongguang.Clinical Report of 29 Cases of Calcanodynia Treated by DrillingDecompression Combined with Arthroscopic Grinding[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(02):64-66.
点击复制

钻孔减压结合镜下磨削术治疗跟痛症29例()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年02期
页码:
64-66
栏目:
临床报道
出版日期:
2021-02-15

文章信息/Info

Title:
Clinical Report of 29 Cases of Calcanodynia Treated by DrillingDecompression Combined with Arthroscopic Grinding
文章编号:
1005-0205(2021)02-0064-03
作者:
王炯1 吴永光1△
1武汉协和江北医院(蔡甸区人民医院)骨科(武汉,430100)
Author(s):
WANG Jiong1 WU Yongguang1△
1Department of Orthopaedics,Union Jiangbei Hospital,Wuhan 430100,China.
关键词:
关节镜 微创 跟痛症 钻孔减压 磨削术
Keywords:
arthroscopy minimally invasive calcaneodynia drilling decompression grinding
分类号:
R686.1
文献标志码:
B
摘要:
目的:探讨钻孔减压结合关节镜下磨削术治疗跟痛症的疗效及安全性。方法:对 2016年10月至2019年5月就诊的共计29例跟骨骨刺引起跟痛症患者的资料进行分析,包括患者术前与术后疼痛VAS评分,AOFAS足踝标准及并发症等指标。结果:患者获得平均9.6 个月随访,术后VAS 评分及AOFAS 评分较术前均有显著改善和提高(P<0.05)。X线片显示骨刺未见明显复发。结论:钻孔减压结合关节镜下磨削术治疗跟痛症安全有效,值得临床推广应用。
Abstract:
To evaluate the efficacy and safety of drilling decompression combined with arthroscopic grinding in the treatment of calcanodynia.Methods:29 patients with calcanodynia caused by heel spur were treated by drilling decompression combined with arthroscopic grinding from October 2016 to May 2019.Preoperative and postoperative VAS(visual analogue scale)pain scores,AOFAS(the American orthopedic foot and ankle society)ankle standards and complications were documented.Results:All the patients were followed up for 9.6 months on average.The VAS score and AOFAS score after treatment were significantly improved and increased as compared with them before(P<0.05).The X-ray showed that there was no obvious recurrence of the spur.Conclusion:Drilling decompression combined with arthroscopic grinding is a safe and effective treatment for calcaneodynia.

参考文献/References:

[1] IRVING D B,COOK J L,MENZ H B.Factors associated with chronic plantarheel pain:a systematic review[J].Journal of Science and Medicine in Sport,2006,9(1):11-22.
[2] SCHWARTZ E N,SU J.Plantar fasciitis:a concise review[J].The Permanente Journal,2014,18(1):e105.
[3] SOLAN M C,CARNE A,DAVIES M S.Gastrocnemius shortening and heel pain[J].Foot and Ankle Clinics,2014,19(4): 719-738.
[4] LAREAU C R,SAWYER G A,WANG J H,et al.Plantar and medial heel pain:diagnosis and management[J].J Am Orthop Surg,2014,22(6): 372-380.
[5] SULLIRAN J,BURNS J,ADAMS R,et al.Plantar heel pain and foot loading during normal walking[J].Gait & Posture,2015,41(2): 688-693.
[6] JOO Y C,OK W K,BAIK S H,et al.Removal of a vertebral metastatic tumor compressing the spinal nerve roots via a dingle-port,transforaminal,endoscopic approach under monitored anesthesia care[J].Pain Physician,2012,15(4):297-302.
[7] JOHNSON D P,WAKELEY C J,WATT I.Magnetic resonance imaging of patellar tendonitis[J].Journal of Bone & Joint Surgery:British Volume,1996,78(3):452-457.
[8] YIN M C,YE J,YAO M,et al.Is extracorporeal shock wave therapy clinical efficacy for relief of chronic,recalcitrant plantar fasciitis? A systematic review and meta-analysis of randomized placebo or active treatment controlled trials[J].Arch Phys Med Rehabil,2014,95(8):1585-1593.
[9] JOHAL K S,MILNER S A.Plantar fasciitis and the calcaneal spur:fact or fiction?[J].Foot Ankle Surg,2012,18(1): 39-41.
[10] WEARING S C,SMEATHERS J E,URRY S R,et al.The pathomechanics of plantar fasciitis[J].Sports Med,2006,36(7):585-611.
[11] EL SHAZLY O,EL BELTAGY A.Endoscopic plantar fascia release,calcaneal drilling and calcaneal spur removal for management of painful heel syndrome[J].Foot(Edinb),2010,20(4): 121-125.
[12] 瑞台,张淑萍.跟骨钻孔减压治疗青年跟骨高压症25例[J].临床军医杂志,2012,30(4):107.
[13] ARSLAN A,KOCA T T,UTKAN A,et al.Treatment of chronic plantar heel pain with radiofrequency neural ablation of the first branch of the lateral plantar nerve and medial calcaneal nerve branches[J].J Foot Ankle Surg,2016,55(4):767-771.
[14] 尹萌辰,许金海,莫文,等.体外冲击波治疗跟痛症的临床疗效分析[J].中国中医骨伤科杂志,2017,25(7):21-25.
[15] GIMIGLIANO R,SIRE A D,PALLADINO C,et al.No.59 effects of focused extracorporeal shock waves therapy in patients with chronic plantar fasciitis[J].PM & R,2014,6(8): S94-S95.
[16] WILSON J J,LEE K S,MILLER A T,et al.Platelet-rich plasma for the treatment of chronic plantar fasciopathy in adults:a case series[J].Foot Ankle Spec,2014,7(1): 61-67.
[17] 李淑媛,张鹏,曲峰,等.关节镜下射频消融技术治疗跟痛症的疗效分析[J].中国骨伤,2013,26(5): 391-394.

备注/Memo

备注/Memo:
通信作者 E-mail:203892831@qq.com
更新日期/Last Update: 2021-02-15