Differences at the Achilles Insertion Between Adults with Insertional and Midportion Achilles Tendinopathy as Observed Using Ultrasound.
Differences at the Achilles Insertion Between Adults with Insertional and Midportion Achilles Tendinopathy as Observed Using Ultrasound.
复制标题
DOI：
10.32098/mltj.02.2022.04
复制
发表时间：
2022-04
影响因子：
--
通讯作者：
Silbernagel, K. Gravare
中科院分区：
文献类型：
--
作者：
Alghamdi, N. Hamdan;Pohlig, R. T.;Sions, J. M.;Silbernagel, K. Gravare
本研究的目的是确定损伤侧和未损伤侧插入性跟腱病（IAT）和中段性跟腱病（MidAT）跟腱插入的结构和病理差异。招募单侧跟腱病变患者34例，其中58.8%为男性（50%为IAT， 50%为MidAT）。中位年龄52岁，victoria Institute of Sport Assessment - Achilles （VISA-A）评分平均59分，17人（12名男性）有MidAT，中位年龄（范围）为58（48）岁，VISA-A评分平均（SD）为59.1（19.7）。超声成像用于评估止点处的结构测量（插入长度、骨到止点长度和肌腱插入角度）、肌腱长度（跟肌到比目鱼肌）、跟骨边缘肌腱厚度以及病理改变（骨畸形和/或钙化）的存在。采用2×2混合方差分析（组对组）比较IAT组和MidAT组以及损伤侧和未损伤侧。IAT组损伤侧跟骨肌腱厚度显著大于未损伤侧，MidAT组差异无统计学意义（P= 0.001）。IAT组VISA-A评分为59.9分（18.7分），MidAT组为59.1分（19.7分）（P=.909）。在插入部位的结构测量中，没有明显的组间相互作用。跟骨边缘肌腱厚度是IAT受累侧和未受累侧之间观察到的唯一显著结构差异，尽管在MidAT中没有发现这一点。
The purpose of this study was to determine structural and pathological differences of Achilles tendon insertion between insertional Achilles tendinopathy (IAT) and midportion Achilles tendinopathy (MidAT) in both injured and uninjured sides. Patients (n=34; 58.8% male) with unilateral Achilles tendinopathy (50% with IAT; 50% with MidAT) were recruited. Median age 52 years and Victorian Institute of Sport Assessment – Achilles (VISA-A) score mean 59, and 17 (12 male) had MidAT, median(range) age of 58(48)years, and VISA-A score mean(SD) 59.1(19.7). Ultrasound imaging was used to evaluate structural measurements at the insertion (insertional length, bone-to-insertion length, and tendon insertion angle), tendon length (calcaneus to soleus), tendon thickness at the calcaneal edge, and the presence of pathological changes (boney deformity and/or calcification). A 2×2 mixed Analysis of Variance (group by side) was used to compare IAT and MidAT groups and injured and uninjured sides. Tendon thickness at the calcaneus on the injured side was significantly greater than the uninjured side in the IAT group but not in the MidAT group (P=.001). VISA-A score was 59.9(18.7) in IAT group and 59.1(19.7) for MidAT group (P=.909). There were no significant group-by-side interactions for structural measurements at insertion site. Calcaneal edge tendon thickness was the only significant structural difference observed between involved and uninvolved sides in IAT, although this was not found in in MidAT.
登录
查看更多内容
影响因子：
2.7
作者：
Kang, Steve;Thordarson, David B.;Charlton, Timothy P.
通讯作者：
Charlton, Timothy P.
影响因子：
2.7
作者：
Maffulli, N;Kenward, TG;King, JB
通讯作者：
King, JB
影响因子：
6.1
作者：
Martin, Robroy L.;Chimenti, Ruth;Carcia, Christopher R.
通讯作者：
Carcia, Christopher R.
DOI：
10.1007/s40141-020-00288-y
发表时间：
2020-12-01
影响因子：
1.1
作者：
Sederberg, Mark;Cushman, Daniel M.
通讯作者：
Cushman, Daniel M.
DOI：
10.1016/j.apmr.2015.12.009
发表时间：
2016-07-01
影响因子：
4.3
作者：
Chimenti, Ruth L.;Chimenti, Peter C.;Flemister, A. Samuel
通讯作者：
Flemister, A. Samuel