臨床整形外科59巻3号

2024年03月発行

特集 知ってると知らないでは大違い　実践！ 踵部痛の診断と治療

踵部脂肪体褥の機能解剖学的特徴とHeel Fat Pad Syndromeの理解

著者： 前道俊宏¹² 松本正知³ 熊井司¹

所属機関： ¹早稲田大学スポーツ科学学術院 ²東洋大学ライフイノベーション研究所 ³早稲田大学大学院スポーツ科学研究科

ページ範囲：P.271 - P.276

踵は歩行の際に最初に接地する部位であり，荷重と非荷重の状態が頻回に繰り返される．踵には歩行や走行時の衝撃吸収，衝撃分散の役割を担う脂肪組織，踵部脂肪体褥(HFP)が存在する．同部が関与するheel fat pad syndrome(HFPS)は足底踵部痛の2番目に多い原因である可能性が報告されているものの，診断基準が明確に確立されていないのが現状である．踵部脂肪体褥のような軟部組織を評価するうえで，静的な評価だけではなく，荷重変化のような動的な評価がHFPSの評価手法として重要と考えている．

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