THE ROLE OF RECREATIONAL SPORT ACTIVITY IN ACHILLES-TENDON RUPTURE - A CLINICAL, PATHOANATOMICAL, AND SOCIOLOGICAL-STUDY OF 292 CASES
THE ROLE OF RECREATIONAL SPORT ACTIVITY IN ACHILLES-TENDON RUPTURE - A CLINICAL, PATHOANATOMICAL, AND SOCIOLOGICAL-STUDY OF 292 CASES
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DOI：
10.1177/036354658901700305
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发表时间：
1989-05-01
影响因子：
4.8
通讯作者：
BARZO, M
中科院分区：
文献类型：
--
作者：
JOZSA, L;KVIST, M;BARZO, M
在过去的几十年里，文明国家肌腱断裂的发生率有所增加。我们的材料包括 749 名患者，他们在 1972 年至 1985 年间接受了 832 次肌腱断裂手术治疗。研究的患者中没有竞技运动员。其中跟腱断裂 292 处，肱二头肌近端断裂 274 处，拇长伸肌断裂 113 处，其他肌腱断裂 70 处。 48 名患者有多处破裂，35 名患者再次破裂。 跟腱断裂经常发生在休闲体育活动中（59%），而其他跟腱断裂则常见（2%；P < 0.001）。跟腱断裂患者的平均年龄为 35.2 岁，其他断裂患者的平均年龄为 50.7 岁（P < 0.001）。 O 型血的高发生率与肌腱断裂之间存在相关性（P < 0.001）。在多次破裂和再破裂的病例中，O型血的频率为71%。 62% 的跟腱断裂患者是专业人士或白领工人，这一比例明显高于匈牙利人口 (12.7%；P < 0.001)。对 206 例跟腱断裂进行了组织学研究，所有病例均显示病理改变。结果表明，跟腱完全断裂通常是久坐生活方式和参加体育活动的后遗症。
During the last few decades, the incidence of tendon ruptures has increased in civilized countries. Our material comprises 749 patients who had 832 tendon ruptures treated surgically between 1972 and 1985. There were no competitive athletes among the patients studied. There were 292 single ruptures of the Achilles tendon, 274 of the proximal biceps brachii, 113 of the extensor pollicis longus, and 70 of other tendons. Forty-eight patients had multiple ruptures and 35 patients had reruptures. Achilles tendon ruptures often occurred in recreational sports activities (59%), in contrast to other tendon ruptures (2%; P < 0.001). The mean age for patients who had Achilles tendon rupture was 35.2 years and for patients with other ruptures, 50.7 years (P < 0.001). There was a connection between the high incidence of blood group O and tendon ruptures (P < 0.001). In cases of multiple ruptures and reruptures, the frequency of blood group O was 71%. Sixty-two point three percent of the patients with Achilles tendon rupture were professionals or white collar workers, which is markedly more than in the Hungarian population (12.7%; P < 0.001). Two hundred and six Achilles tendon ruptures were studied histologically, and all cases displayed pathological alterations. The results indicate that complete rupture of the Achilles tendon is usually a sequel to a sedentary life-style and participation in sports activities.