Is Calcaneal Inclination Higher in Patients with Insertional Achilles Tendinosis? A Case-controlled, Cross-sectional Study
Is Calcaneal Inclination Higher in Patients with Insertional Achilles Tendinosis? A Case-controlled, Cross-sectional Study
复制标题
DOI：
10.1053/j.jfas.2012.06.015
复制
发表时间：
2012-11-01
影响因子：
1.3
通讯作者：
Jupiter, Daniel C.
中科院分区：
文献类型：
--
作者：
Shibuya, Naohiro;Thorud, Jakob C.;Jupiter, Daniel C.
插入性跟腱病是一种患者主诉由于腱内退变导致跟腱插入部位出现孤立性疼痛的疾病。有人认为这种情况与高弓足畸形有关。然而，据我们所知，没有任何研究证实了这一观察结果。我们进行了一项横断面的病例对照研究，以探讨跟骨倾斜度增加与跟腱止点病的关系，跟骨倾斜度增加是高弓足畸形的一个重要外科特征。跟腱病患者和对照组无病理进行了比较。虽然这两组之间的跟骨倾斜角存在统计学显著差异（p = 0.038），但我们认为该差异无临床意义（跟骨倾斜角分别为20.9 vs. 18.9）。在本研究的范围内，我们得出结论，有或没有跟腱附着点病的跟骨倾斜度没有临床显著差异。(C)2012年由美国足踝外科医师学会（American College of Foot and Ankle Surgeons）All rights reserved.
Insertional Achilles tendinosis is a condition where a patient complains of isolated pain at the Achilles tendon insertion site due to intratendinous degeneration. It has been suggested that this condition is associated with cavus foot deformity. However, to our knowledge, there is no study that has confirmed this observation. We carried out a cross-sectional, case-controlled study to explore the association of increased calcaneal inclination-a surgically important characteristic of cavus foot deformity-with insertional Achilles tendinosis. Patients with Achilles tendinosis and matched controls without the pathology were compared. Although a statistically significant difference was detected in calcaneal inclination angle between these 2 groups (p = .038), we felt that the difference was not clinically significant (calcaneal inclination angle 20.9 vs. 18.9, respectively). Within the limitations of the study, we conclude that there is no clinically significant difference in calcaneal inclination between those with or without insertional Achilles tendinosis. (C) 2012 by the American College of Foot and Ankle Surgeons. All rights reserved.