有懂医学术语的TX吗？

Chioz

10多天前拿到骨扫描报告，试着理解，但发现还是不清楚病灶具体位置。我把报告拍照，并附上自己的翻译，哪位懂医的T帮着检查下？这样我可以通过baidu足部骨骼图片来了解自己病灶位置。

多谢了！  

我的翻译如下：

骨扫描和CT

诊所提供信息：左脚慢性疼痛多年？超声波显示第一趾骨衔接有滑膜炎症，请评估成骨细胞活动。

报告：下肢末梢呈现自发充盈状态，血池架内无明显充血异常。

注射微量用以CT扫描解剖定位的药物后获取下肢末梢平面及SPECT图像。

左胫腓关节末梢有轻度升高的同位素活动，同样情况出现在左踝中部皮质边缘、第一距骨衔接位、第一趾骨衔接部位和第一第二趾骨底部相邻循环中。左跟骨下面和左踝衔接后面有轻度的同位素活动现象，甚至部分有融合三角形状出现。右脚变化略少。然而，无特别集中病灶异常出现，尤其在左脚第一趾骨衔接位。

结论:
1.        左脚明显轻度足底筋膜炎，右脚此炎症更轻；
2.        如上所述，左脚及左踝轻度关节炎，可能源于受伤后遗症或早期退化。鉴于没有明显血池充血，我认为不可能有活跃性的滑膜炎症；
3.        右脚关节炎症状轻得多；
4.        没有显示近期有骨折现象。

kyle1031

病灶不就是好多地方有炎症嘛，都指出来了啊

city07

234基本每个人都有吧

Chioz

city07 发表于 2015-12-15 15:02
234基本每个人都有吧

真的吗？今天看了podiatrist，他说了两次“It's to early to get arthritis (for you)!"

Chioz

kyle1031 发表于 2015-12-15 14:45
病灶不就是好多地方有炎症嘛，都指出来了啊

我想搞清楚具体在脚的哪个位置。

city07

Chioz 发表于 2015-12-15 17:09
真的吗？今天看了podiatrist，他说了两次“It's to early to get arthritis (for you)!"   ...

我没有考虑到lz的年龄问题

kyle1031

Chioz 发表于 2015-12-15 17:11
我想搞清楚具体在脚的哪个位置。

没明白，
左胫腓关节末梢有轻度升高的同位素活动，同样情况出现在左踝中部皮质边缘、第一距骨衔接位、第一趾骨衔接部位和第一第二趾骨底部相邻循环中。左跟骨下面和左踝衔接后面有轻度的同位素活动现象，甚至部分有融合三角形状出现。右脚变化略少。然而，无特别集中病灶异常出现，尤其在左脚第一趾骨衔接位。

这些不是具体位置嘛

Missy

Chioz 发表于 2015-12-15 17:11
我想搞清楚具体在脚的哪个位置。

As in where this all started?  

Very hard to say.  Since you have had pain for several years on both sides, there could be abnormal biomechanics of foot / ankle movements.  It could also be the other way around - abnormal foot biomechanics (result of poor footwear /prev sporting injuries maybe) leading to wear and tear of joints.  Feet are complex with many joints so pain can travel around quite a bit.   

Chioz

Missy 发表于 2015-12-15 15:31
As in where this all started?  

Very hard to say.  Since you have had pain for several years on b ...

谢谢，的确整只脚都疼，但有些部位更集中。

我只有左脚疼，右脚目前还行。

Chioz

Missy 发表于 2015-12-15 15:31
As in where this all started?  

Very hard to say.  Since you have had pain for several years on b ...

There is mild activity at the inferior aspect of the left calcaneus and at the posterior aspect of the left sub-talar joint, with a partially fused os trigona.

以上是不是说我（左）后脚跟下部和距下关节后面测试用药物轻度活跃，甚至出现部分融合三角状。


Podiatrist给我安排了shockwave治疗Plantar Fasciitis，但根据上面的理解我的脚后跟下部有关节炎症状，而足底筋膜炎也是在脚跟部位。针对后者的冲击波治疗有没有效果不好判断吧？

刚才核对足骨图，”后脚跟下部和距下关节后面测试用药物轻度活跃，甚至出现部分融合三角状。“这句话让我想起10来岁的时候后跟靠上和脚踝后被割破过，但那时没就医，在家涂抹药水休息几天就好了。

Missy

The ostrigona could have been there for a long time, some people are born with it.  If you didn't have much pain around that particular area I wouldn't be too concerned.  I wouldn't think it's caused by a cut to the back of ankle neither.

I think what your podiatrist is trying to do is to treat plantar fasciitis first and see if that changes you pain.  I can't comment on the effectiveness of the shockwave but I'd say still do the other routine stuff for plantar fasciitis, e.g. stretching, roll ice bottle etc.  

一妮

Chioz 发表于 2015-12-15 17:58
There is mild activity at the inferior aspect of the left calcaneus and at the posterior aspect of ...

It's not uncommon at all for patients presenting with foot problems long after the initial trauma (the longest I personally encountered was 35 years). Apart from the previous injury, other factors might contribute to the process, such as foot wear, sports, other diseases etc. As others suggest, you need to go through the conservative treatment to see if that will help and to what extent.

Chioz

Missy 发表于 2015-12-15 17:00
The ostrigona could have been there for a long time, some people are born with it.  If you didn't ha ...

多谢！

Chioz

一妮 发表于 2015-12-15 17:25
It's not uncommon at all for patients presenting with foot problems long after the initial trauma  ...

谢谢！

现在我认识到7年前一次受伤和平时不注意穿鞋是主因。

其实，我已经休息8个多月了，刚开始确诊是Plantar Fasciitis，我一直坚持着做保守治疗，如stretching, massing, resting，etc. 只是最近通过进一步拍片发现了关节炎，咳！