Clinical tests in sports medicine: More on Achilles tendon
Clinical tests in sports medicine: More on Achilles tendon
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DOI：
10.1136/bjsm.30.3.250
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发表时间：
1996-09-01
影响因子：
18.4
通讯作者：
Maffulli, N
中科院分区：
文献类型：
--
作者：
Maffulli, N
当受伤后不久进行检查时，可以看到和触摸到肌腱实质上的撕裂。随着撕裂后时间的延长，缝隙可能会因水肿而消失，触诊变得不可靠。除了本杂志6月刊(第30卷，第124页)中描述的测试外，还需要提到另外两项临床测试。Matles测试患者俯卧并将脚放在检查床的一端，被要求主动将膝盖弯曲到90度。在这个动作中观察脚踝和脚的位置。如果患侧的脚处于中立或背屈状态，则诊断为跟腱断裂。在正常患者中，当膝盖屈曲到90‘时，脚仍保持轻微的掌屈。1
When examined soon after the injury, a tear in the substance of the tendon can be seen and palpated. With increased time after the tear, the gap can be obliterated by oedema, and palpation becomes unreliable. In addition to the tests described in this journal in the June issue (volume 30, page 124), two other clinical tests should be mentioned.Matles test The patient, lying prone and with feet over the end of the examination couch, is asked to flex the knee actively to 90. The position of the ankle and feet is observed during this movement. If the foot on the affected side falls into neutral or into dorsiflexion, an Achilles tendon rupture is diagnosed. In normal patients, the foot remains in slight planter flexion when the knee is flexed to 90'. 1