Kraus R, Horas U, Stahl J-P, Schnettler R
Klinik und Poliklinik für Unfallchirurgie, Justus-Liebig-Universität Giessen, Germany.
Unfallchirurg. 2003 Aug;106(8):680-2. doi: 10.1007/s00113-003-0648-z.
In the recent literature, there are only a few hints on spontaneous or postoperative heterotopic ossifications of the Achilles tendon region. The strategies of treatment are different, both conservative and operative. Postoperative calcifications are not mentioned as typical complications in the treatment of Achilles tendon ruptures. We describe the case of a 39 year old male suffering of an increasing, painful swelling and a decrease of loading capacity. In clinical, sonographic and radiological investigations,we found large peritendinous calcifications ventral to the intact heel tendon up to 36 mm in diameter. After operative resection of the calcifications and postoperative chemical prophylaxis, the patient has been without pain for 1 year. There was no relapse of the calcifications or re-rupture of the tendon.
在最近的文献中，关于跟腱区域的自发性或术后异位骨化仅有一些提示。治疗策略各不相同，包括保守治疗和手术治疗。在跟腱断裂的治疗中，术后钙化并未被提及为典型并发症。我们描述了一名39岁男性的病例，他出现了逐渐加重的疼痛性肿胀以及负重能力下降。在临床、超声和放射学检查中，我们发现完整跟腱前方有大量腱周钙化，直径达36毫米。在对钙化进行手术切除并进行术后化学预防后，患者已无痛1年。钙化没有复发，跟腱也没有再次断裂。
