跟腱滑囊炎概述
- 由于滑囊长期挤压、摩擦导致跟腱滑囊出现炎症反应
- 症状有局部肿胀发红、疼痛、肿块波动感等
- 以保守药物治疗为主,多可治愈,必要时需要手术
简介
跟腱滑囊炎又称跟腱周围炎、后跟滑囊炎,是比较常见的一种滑囊炎,运动量较大的人群特别是运动员(田径及球类)更易发生本病。跟腱止点的前后部和前下部各有微小的滑囊,跟腱滑囊炎指上述滑囊积液、肿胀和发生炎性反应。本病的病因是滑囊长期挤压、摩擦,如鞋太紧,跟后帮太硬等,造成跟部磨损引起滑囊炎。患者出现滑囊发炎时,主要表现为足跟局部肿胀发红、疼痛、有积液或化脓时可有波动感等典型症状。治疗上常采用保守疗法,包括药物治疗、物理治疗等,如鞋底后跟垫厚垫使足跟抬高以减少磨损,当合并保守治疗效果不好时可进行手术治疗。经及时积极治疗后,大部分患者可以治愈,预后较好。不积极治疗会因长期持续压迫、摩擦,引起跟腱及滑囊充血、水肿、浆液性渗出,可出现纤维性增生、粘连、囊壁增厚,跟腱周围粘连等症状[1,2,3]。
症状表现[1,2]:
跟腱滑囊炎典型临床症状为滑囊炎,足跟局部肿胀发红、疼痛,有积液或化脓时可有波动感。
诊断依据[2,3]:
经X线检查,早期摄片多无异常,部分患者踝关节侧位片,上可见后方的透亮三角区模糊或消失,病程长而影响行走者,可见局部脱钙、骨质增生表现。结合足跟部影像学检查,出现局部发红、肿胀、疼痛等表现,即可确诊。
跟腱滑囊炎有哪些类型[2]?
跟腱滑囊炎从病理上可分为外伤性、感染性和慢性劳损性三种:
1.外伤性跟腱滑囊炎
2.感染性跟腱滑囊炎
3.慢性劳损性滑囊炎
是否具有传染性?
否。
是否常见[1]?
本病临床常见,尚无具体流行病学数据。
是否可以治愈[1,2]?
可以治愈。大部分患者通过药物保守治疗或手术治疗,都能够得到很好的治疗效果。不积极治疗会因长期持续压迫、摩擦,引起跟腱及滑囊充血、水肿、浆液性渗出,可出现纤维性增生、粘连、囊壁增厚,跟腱周围粘连等症状,影响患者日常活动。
是否遗传?
否。
是否医保范围?
是。
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Java stack trace (for programmers):
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freemarker.core.NonSequenceOrCollectionException: [... Exception message was already printed; see it above ...]
at freemarker.core.IteratorBlock$IterationContext.executedNestedContentForCollOrSeqListing(IteratorBlock.java:351)
at freemarker.core.IteratorBlock$IterationContext.executeNestedContent(IteratorBlock.java:271)
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at freemarker.core.Environment.visitIteratorBlock(Environment.java:644)
at freemarker.core.IteratorBlock.acceptWithResult(IteratorBlock.java:108)
at freemarker.core.IteratorBlock.accept(IteratorBlock.java:94)
at freemarker.core.Environment.visit(Environment.java:334)
at freemarker.core.Environment.visit(Environment.java:340)
at freemarker.core.Environment.include(Environment.java:2925)
at freemarker.core.Include.accept(Include.java:171)
at freemarker.core.Environment.visit(Environment.java:334)
at freemarker.core.Environment.visit(Environment.java:340)
at freemarker.core.Environment.process(Environment.java:313)
at freemarker.template.Template.process(Template.java:383)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.processTemplate(FreeMarkerView.java:391)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.doRender(FreeMarkerView.java:304)
at org.springframework.web.servlet.view.freemarker.FreeMarkerView.renderMergedTemplateModel(FreeMarkerView.java:255)
at org.springframework.web.servlet.view.AbstractTemplateView.renderMergedOutputModel(AbstractTemplateView.java:179)
at org.springframework.web.servlet.view.AbstractView.render(AbstractView.java:316)
at org.springframework.web.servlet.DispatcherServlet.render(DispatcherServlet.java:1394)
at org.springframework.web.servlet.DispatcherServlet.processDispatchResult(DispatcherServlet.java:1139)
at org.springframework.web.servlet.DispatcherServlet.doDispatch(DispatcherServlet.java:1078)
at org.springframework.web.servlet.DispatcherServlet.doService(DispatcherServlet.java:961)
at org.springframework.web.servlet.FrameworkServlet.processRequest(FrameworkServlet.java:1006)
at org.springframework.web.servlet.FrameworkServlet.doGet(FrameworkServlet.java:898)
at javax.servlet.http.HttpServlet.service(HttpServlet.java:626)
at org.springframework.web.servlet.FrameworkServlet.service(FrameworkServlet.java:883)
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at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166)
at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:100)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:119)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166)
at org.springframework.web.filter.FormContentFilter.doFilterInternal(FormContentFilter.java:93)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:119)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166)
at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:201)
at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:119)
at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193)
at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166)
at org.apache.catalina.core.StandardWrapperValve.invoke(StandardWrapperValve.java:202)
at org.apache.catalina.core.StandardContextValve.invoke(StandardContextValve.java:97)
at org.apache.catalina.authenticator.AuthenticatorBase.invoke(AuthenticatorBase.java:542)
at org.apache.catalina.core.StandardHostValve.invoke(StandardHostValve.java:143)
at org.apache.catalina.valves.ErrorReportValve.invoke(ErrorReportValve.java:92)
at org.apache.catalina.core.StandardEngineValve.invoke(StandardEngineValve.java:78)
at org.apache.catalina.valves.RemoteIpValve.invoke(RemoteIpValve.java:764)
at org.apache.catalina.connector.CoyoteAdapter.service(CoyoteAdapter.java:343)
at org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:374)
at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:65)
at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:888)
at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1597)
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at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61)
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