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Der Orthopäde

, Volume 48, Issue 3, pp 261–280 | Cite as

Differenzialdiagnose des Fersenschmerzes

  • Primoz Potocnik
  • Bettina Hochreiter
  • Norbert Harrasser
  • Jan Meester
  • Andreas ToepferEmail author
CME

Zusammenfassung

„Fersenschmerzen“ beschreiben einen sehr häufigen Konsultationsgrund in der fußorthopädischen Praxis, deren weitere differenzialdiagnostische Abklärung für die richtige Therapiefindung entscheidend ist. In der Therapie der häufig zugrunde liegenden Erkrankungen wie der Plantarfasziitis oder der achillären Insertionstendinopathie steht dem behandelnden Arzt eine Vielzahl moderner Verfahren zu Verfügung. Seltenere Erkrankungen wie Tumoren oder Nervenengpasssyndrome müssen davon abgegrenzt und korrekt eingeordnet werden. Dieser Beitrag soll den aktuellen Stand zur Diagnostik und Therapie der häufigsten Entitäten von Fersenpathologien vermitteln.

Schlüsselwörter

Plantarfasziitis Fersensporn Insertionstendinopathie Baxter-Neuropathie Kalkaneuszyste 

Differential diagnosis of heel pain

Abstract

“Heel pain” describes a very common reason for foot orthopedic consultation and the further differential diagnostic investigation is crucial for the choice of correct treatment. In the treatment of frequent underlying diseases, such as plantar fasciitis or insertional tendinopathy of the Achilles tendon, a variety of modern strategies are available. Rarer diseases, such as tumors or nerve entrapment syndromes must be delineated and correctly classified. This article provides the current state of the diagnostics and treatment of the most common entities of heel pathologies.

Keywords

Plantar fasciitis Heel spur Achilles insertional tendinopathy Baxter neuropathy Calcaneal cyst 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

P. Potocnik, B. Hochreiter, N. Harrasser, J. Meester und A. Toepfer geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigten oder des gesetzlich bestellten Betreuers vor.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • Primoz Potocnik
    • 1
  • Bettina Hochreiter
    • 1
  • Norbert Harrasser
    • 2
  • Jan Meester
    • 1
  • Andreas Toepfer
    • 1
    Email author
  1. 1.Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparats, Sektion Fuß- und SprunggelenkchirurgieKantonspital St. GallenSt. GallenSchweiz
  2. 2.Zentrum für Fuß- und SprunggelenkchirurgieSchön Klinik München HarlachingMünchenDeutschland

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