RESUMO
Adult acquired inferior calcaneal heel pain is a common pathology seen in a foot and ankle practice. A literature review and expert panel discussion of the most common findings and treatment options are presented. Various diagnostic and treatment modalities are available to the practitioner. It is prudent to combine appropriate history and physical examination findings with patient-specific treatment modalities for optimum success. We present the most common diagnostic tools and treatment options, followed by a discussion of the appropriateness of each based on the published data and experience of the expert panel.
Assuntos
Fasciíte Plantar/complicações , Calcanhar , Manejo da Dor/métodos , Guias de Prática Clínica como Assunto , Tendinopatia/complicações , Tendão do Calcâneo/fisiopatologia , Adulto , Dor Crônica/diagnóstico , Dor Crônica/terapia , Consenso , Fasciíte Plantar/diagnóstico , Fasciíte Plantar/terapia , Feminino , Doenças do Pé/diagnóstico , Doenças do Pé/terapia , Humanos , Masculino , Medição da Dor , Sociedades Médicas , Tendinopatia/diagnóstico , Tendinopatia/terapia , Resultado do TratamentoRESUMO
Posterior tibial tendon dysfunction (tendinitis, tendinosis, or rupture) and adult acquired flatfoot deformity can manifest with a wide array of bony and soft tissue abnormalities visible on plain radiographs, ultrasound, and magnetic resonance imaging. Imaging abnormalities include various combinations of malalignment, anatomic variants, and enthesopathic and tendinopathic changes. A thorough understanding of differences between anatomic and pathologic presentations of structures in various imaging modalities is an essential tool for clinical and surgical planning.
