Kelm J, Anagnostakos K, Deubel G, Schliessing P, Schmitt E
Orthopädische Universitätsklinik Homburg/Saar.
Sportverletz Sportschaden. 2004 Sep;18(3):148-52. doi: 10.1055/s-2004-813362.
The rupture of the tendon of the M. tibialis ant. is a rare sport injury and has not been yet described in fencing. The lunge, the most common offensive movement in fencing, displays a high stress on the spanned tendons and ligaments over the ankle joint and led to the rupture of the pre-damaged tendon of our patient. Pain over the inner side of the foot should be assessed as knells of this tendon injury. The exact patient's history and the precise clinical investigation are adequate for diagnosing the rupture. Hereby, an absence of the tendon shape over the ankle joint and a distinct active deficit of the extension are presented in comparison to the other side where a gap in the tendon course is palpable. An x-ray is obligate, a sonography and a MRI are helpful for the operative planning. The surgical treatment is necessary for athletes. If possible, a primary tendon suture should be aimed, in case of a distal torn an osseous reinsertion should occur. An early functional, postoperative treatment with an orthesis should be rather preferred for athletes than an immobilization.
胫骨前肌肌腱断裂是一种罕见的运动损伤，在击剑运动中尚未有过相关描述。弓步，作为击剑运动中最常见的进攻动作，会对跨越踝关节的肌腱和韧带施加很高的压力，导致了我们这位患者原本就已受损的肌腱发生断裂。足部内侧的疼痛应被视为这种肌腱损伤的警钟。准确的患者病史和精确的临床检查足以诊断出这种断裂。在此，与另一侧相比，踝关节处肌腱形态消失，且伸展活动明显受限，在肌腱走行处可摸到间隙。X线检查是必需的，超声检查和磁共振成像对手术规划有帮助。对于运动员来说，手术治疗是必要的。如果可能，应争取进行一期肌腱缝合，若为远端撕裂，则应进行骨内重新植入。对于运动员而言，术后早期采用矫形器进行功能治疗比固定制动更为可取。
