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患者,女,3l岁。因右足第1跖趾关节内侧渐进性疼痛1个月来诊。疼痛以行走时为著。右足第l跖趾关节无畸形,局部红肿不明显,压痛明显。右足X线摄片未见异常,遂诊为拇滑囊炎,行理疗并嘱其制动,穿宽大松软鞋。1个月后复诊,诉局部按摩导致疼痛加重,于右足第l跖趾关节内侧可触及一条索状肿物,有麻痛感,向远端放射。再次查体,明确痛点为跖趾内侧神
Patient, female, 3l years old. Because of the first right medial metatarsophalangeal joint medial progressive pain 1 month consultation. Pain when walking for. Right foot l metatarsophalangeal joint without deformity, local swelling was not obvious, tenderness significantly. Right foot X-ray showed no abnormalities, then diagnosed as bursitis, line therapy and instruct the brake, wearing large soft shoes. A month after the referral, complain of local massage lead to increased pain in the right foot l metatarsophalangeal joint medial touches a cord-like tumor, a numb feeling, to the distal radiation. Physical examination again, clear pain points to the medial plantar toe