Everything Achilles: Knowledge Update and Current Concepts in Management AAOS Exhibit Selection

Everything Achilles: Knowledge Update and Current Concepts in Management AAOS Exhibit Selection
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DOI:
10.2106/jbjs.o.00002
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发表时间:
2015-07-15
影响因子:
5.3
通讯作者:
Strauss, Eric J.
Strauss, Eric J.
中科院分区:
医学1区
文献类型:
--
作者:
Uquillas, Carlos A.;Guss, Michael S.;Strauss, Eric J.

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跟腱病理是常见的,影响运动员和非运动员一样。其原因是多因素的,有争议的,涉及生物学,解剖学和机械因素。可以在临床上和组织学上区分以跟腱炎症和/或变性为特征的各种病症。这些疾病包括附着点性跟腱病、跟后滑囊炎、跟腱周围炎、跟腱病和跟腱周围炎伴肌腱病。所有这些诊断的主要治疗是非手术治疗。有大量的证据表明急性和慢性跟腱断裂的治疗;然而,争议仍然存在。
Achilles tendon pathology is common and affects athletes and nonathletes alike. The cause is multifactorial and controversial, involving biological, anatomical, and mechanical factors. A variety of conditions characterized by Achilles tendon inflammation and/or degeneration can be clinically and histologically differentiated. These include insertional Achilles tendinopathy, retrocalcaneal bursitis, Achilles paratenonitis, Achilles tendinosis, and Achilles paratenonitis with tendinosis. The mainstay of treatment for all of these diagnoses is nonoperative. There is a large body of evidence addressing treatment of acute and chronic Achilles tendon ruptures; however, controversy remains.