中英文字幕：跟骨骨折（Fracture of the Heel Bone (Calcaneus)）

　　跟骨骨折在跗骨骨折中最常见，约占跗骨骨折的60%，多为高处跌落足跟着地所致。跌落的高度、地面性质及体重均为损伤之要素；另有从下方反冲击力作用于足跟所致。因跟骨骨折多为坠落伤，并且约5%跟骨骨折合并有胸、腰椎骨折，故对每一跟骨骨折病人都应想到这一点，注意查体并照胸腰段脊柱正侧位片，以免漏诊。

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Fracture of the Heel Bone (Calcaneus)

跟骨骨折

Overview（概述）

This condition is a break in the heel bone, called the calcaneus, which forms the back of the foot. This bone supports the foot and is important for normal walking.

　　跟骨骨折系脚后跟的骨头（被称为跟骨，形成足的后部）的碎裂。跟骨支撑足部，对正常行走很重要。

Causes（原因）

Fractures of the heel bone most commonly occur from severe trauma to the foot, often from a motor vehicle accident or a fall. Small fractures can also occur in athletes who are required to place stress on the foot for long periods of time, such as long-distance runners. Some calcaneus fractures can be associated with other injuries to the bones of the thigh, leg, or even the spine.

　　跟骨骨折通常发生于足部的严重创伤，常由车祸或高处坠落引起。在那些足部需要长时间用力的田径运动员，比如长跑运动员，也可能发生小的骨折。有些跟骨骨折与其他部位的损伤比如小腿、大腿或者脊柱骨折并存。

Symptoms（症状）

Symptoms of a heel bone fracture can include pain and swelling in the back of the foot or on the bottom of the heel, inability to walk, and bruising. A severe fracture may break through the skin.

　　跟骨骨折的症状包括后足或足跟底部的疼痛、肿胀，不能行走，局部挫伤淤青。严重的骨折会刺破皮肤。

Treatment（治疗）

Treatment options include use of a cast, splint or brace, anti-inflammatory medication, cold compress, and therapy after the removal of a splint. In cases where the bones of the foot and ankle have moved out of alignment, surgery may be required.

　　治疗措施包括用石膏、夹板或支具固定，消炎止痛药，冷敷，以及去除支具后的康复治疗。在有些病例，足和踝部的骨失去正常序列，则需要手术治疗。

（胡佰文    译）

相关阅读：

中英文字幕：糖尿病足（Diabetic Foot）

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