Current Treatments of Insertional Achilles Tendinopathy
Current Treatments of Insertional Achilles Tendinopathy
复制标题
DOI：
10.1007/s40141-020-00288-y
复制
发表时间：
2020-12-01
影响因子：
1.1
通讯作者：
Cushman, Daniel M.
中科院分区：
文献类型：
--
作者：
Sederberg, Mark;Cushman, Daniel M.
本文旨在综述插入性跟腱病（IAT）的病理生理学、诊断和治疗。最新发现目前对于IAT的保守治疗或手术治疗尚无共识。最近有越来越多的试验证明体外冲击波治疗IAT的效用。此外，一项经皮超声肌腱切开术的回顾性研究显示了前景。从历史上看，这种疾病对治疗是顽固的。有多种可用的治疗方案，其中许多可能会带来一些好处。了解可用的保守治疗方案，并与患者讨论其风险和益处，可以帮助患者和临床医生确定针对每个个体的治疗方案。
Purpose of ReviewThis paper aims to review the pathophysiology, diagnosis, and treatment of insertional Achilles tendinopathy (IAT).Recent FindingsThere is no current consensus regarding conservative or surgical treatments for IAT. There has recently been an increase of trials demonstrating utility for extracorporeal shock wave in treating IAT. Additionally, a retrospective study of percutaneous ultrasonic tenotomy shows promise.SummaryIAT has historically been recalcitrant to treatment. There are multiple available treatment options, and many that may confer some benefit. Knowing the available conservative treatment options and discussing the risks and benefits with the patient can help the patient and clinician determine what treatment options to employ for each individual.