关键词: Fasciosis plantar Gastrocnemius branch Hidrodisección ecoguiada Nervio tibial Plantar fasciitis Rama gemelar Tenotomy Tenotomía Tibial nerve Ultrasound-guided hydrodissection

Mesh : Anesthesia, Local Cicatrix / complications Dissection / instrumentation methods Fasciitis, Plantar / surgery Female Follow-Up Studies Humans Middle Aged Nerve Compression Syndromes / etiology therapy Postoperative Complications / etiology therapy Pressure Recurrence Solutions / administration & dosage therapeutic use Tenotomy / adverse effects Tibial Nerve / injuries Ultrasonography, Interventional Visual Analog Scale

来  源:   DOI:10.1016/j.rh.2020.04.006

Abstract:
Chronic or recalcitrant plantar fasciitis is a cause of persistent plantar pain. These cases are usually resistant to conventional treatments consisting of exercises, orthoses, shock waves and infiltrations and require a surgical approach. Proximal medial gastrocnemius release is a surgical option that provides satisfactory results, but is not free of complications, which include injuries and nerve entrapment. We report the first published case of symptomatic medial gastrocnemius branch entrapment in the post-surgical scar of a tenotomy for the treatment of recalcitrant plantar fasciitis. We propose ultrasound-guided hydrodissection with local anesthetic as a treatment with promising results.
摘要:
暂无翻译
公众号