Cook J L, Khan K M, Purdam C
Musculoskeletal Research Centre, La Trobe University, Victoria, Australia.
Man Ther. 2002 Aug;7(3):121-30. doi: 10.1054/math.2002.0458.
Achilles tendon injury (tendinopathy) and pain occur in active individuals, when the tendon is subject to high or unusual load. Achilles tendinopathy can be resistant to treatment, and symptoms may persist despite both conservative and surgical intervention. The pathology of overuse tendinopathy is non-inflammatory, with a degenerative or failed healing tendon response. The diagnosis of Achilles tendinopathy requires excellent differential diagnosis and an understanding of the role of tendon imaging. Conservative treatment must include exercise, with a bias to eccentric contractions. Surgical treatment is effective after complete tendon rupture, but may not assist recovery from overuse tendinopathy. Further research into the clinical aspects of Achilles tendinopathy is required.
跟腱损伤（肌腱病）和疼痛发生在活跃人群中，当肌腱承受高负荷或异常负荷时。跟腱病可能对治疗有抵抗性，尽管进行了保守治疗和手术干预，症状仍可能持续。过度使用性肌腱病的病理是非炎性的，表现为肌腱退变或愈合不良。跟腱病的诊断需要出色的鉴别诊断以及对肌腱成像作用的理解。保守治疗必须包括运动，侧重于离心收缩。手术治疗在肌腱完全断裂后有效，但可能无助于过度使用性肌腱病的恢复。需要对跟腱病的临床方面进行进一步研究。
