中英文字幕：跟后滑囊炎（Haglund's Deformity(Retrocalcaneal Bursitis) ）

　　　跟骨后方有两个滑囊：一个位于皮肤与跟腱之间，称跟腱后滑囊；一个位于跟腱与跟骨后上角之间，称跟骨后滑囊。此两滑囊均可因慢性创伤而致滑囊炎，统称跟后滑囊炎（retrocalcaneal bursitis）。发病原因与穿鞋过紧压迫摩擦，跟骨结节过于向后隆凸刺激或跑跳等过度提踵有关。在类风湿性关节炎中，此滑囊亦可受累。主要症状为跟部疼痛及肿胀，如系跟腱后滑囊炎，则局部性隆起更显著。走路时疼痛加重。在跟腱附着点的上方有压痛。跟骨后滑囊炎时，在踝关节的X线侧位片上可见其后方的透亮三角区消失或不清晰。

警告：请在有WIFI的场所观看视频，土豪请随意。

https://v.qq.com/txp/iframe/player.html?vid=x0558i7tnsx&width=500&height=375&auto=0

Haglund's Deformity(Retrocalcaneal Bursitis) 

足跟部滑囊炎（Haglund's畸形）

Overview（概述）

This condition is a bony enlargement on the back of the heel that can aggravate the retrocalcaneal bursa, a fluid-filled sac located on the back of the heel between the Achilles tendon and the calcaneus. The bursa can become inflamed and swollen, a condition called bursitis. Haglund's deformity most commonly affects young women.

　　足跟部滑囊炎（Haglund畸形）系足跟后部骨性增生，可刺激足跟部滑囊（在足跟后方跟腱与跟骨之间的充满液体的囊性结构）。滑囊可出现炎症并肿胀，这种情况称为滑囊炎。Haglund畸形多发生于年轻女性。

Causes（原因）

Haglund's deformity commonly develops as a result of wearing shoes with rigid backs, such as pumps, which put pressure on the back of the heel.

　　Haglund畸形常因穿硬后帮的鞋子比如舞鞋引起，这种鞋子会对足跟后部产生压迫。

Bony Bump Forms（骨肿块的形成）

Over time, this pressure can cause a bony bump to form on the calcaneus, and this bump digs into the surrounding soft tissue. The irritated bursa swells, and other tissues, including the Achilles tendon, may swell and thicken.

　　久而久之，这种压迫会导致跟骨上形成骨性肿块，这种肿块会嵌入周围的软组织。受刺激的滑囊会肿胀，周围的组织，包括跟腱，也会肿胀变厚。

Increased Susceptibility （易感因素）

People who have certain anatomical structures, such as a prominent bump underneath the Achilles tendon, high arches, a tight Achilles tendon, or other factors have an increased susceptibility to this condition.

　　相应的解剖结构，比如跟腱下方潜在的肿块、高足弓、跟腱紧张或其他因素，容易发生本病。

Symptoms（症状）

Symptoms include pain and a callus at the back of the heel. If bursitis develops, a large, swollen bump may form on the back of the heel.

　　症状包括疼痛和足跟后方的老茧。如果发生了滑囊炎，在足跟后方会形成一个大而肿胀的肿块。

Treatment（治疗）

Treatment options include wearing shoes with no backs or soft backs, heel pads or other orthotic devices, heel sleeves, ice, anti-inflammatory medications and physical therapy. In some cases, a cast or boot may be needed. In severe cases, surgery may be needed to remove the bony bump or alter the shape of the calcaneus.

　　治疗措施包括穿无后帮或软后帮的鞋子，使用足跟垫或其他矫形装置，足跟套，冰敷，消炎止痛药以及物理治疗。有些病例，可能需要石膏或靴子。在严重病例，需要手术切除骨肿块，改善跟骨的外形。

（胡佰文    译）

相关阅读：

中英文字幕：距骨骨折（Fracture of the Talus）

中英文字幕：糖尿病足（Diabetic Foot）

精彩视频魅力无限，收藏转发一起分享

---