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跟腱病的保守治疗:新观点

Conservative management of Achilles tendinopathy: new ideas.

作者信息

Alfredson Håkan

机构信息

Sports Medicine Unit, Department of Surgical and Perioperative Science, Umeå University, 90187 Umeå, Sweden.

出版信息

Foot Ankle Clin. 2005 Jun;10(2):321-9. doi: 10.1016/j.fcl.2005.01.002.

DOI:10.1016/j.fcl.2005.01.002
PMID:15922922
Abstract

Chronic Achilles tendinopathy is difficult to treat, and results, even after surgical management, are variable. The few studies that reported long-term results indicated a poor outcome. Also, surgery requires prolonged rehabilitation, and, depending on the patient's occupation, a varying period of sick leave from work. This article gives an update on recently developed conservative treatment methods for the management of chronic Achilles tendinopathy.

摘要

慢性跟腱病难以治疗,即使经过手术治疗,效果也不尽相同。少数报告长期结果的研究表明预后不佳。此外,手术需要长期康复,并且根据患者的职业不同,需要不同时长的病假。本文介绍了最近开发的用于治疗慢性跟腱病的保守治疗方法的最新情况。

相似文献

1
Conservative management of Achilles tendinopathy: new ideas.跟腱病的保守治疗:新观点
Foot Ankle Clin. 2005 Jun;10(2):321-9. doi: 10.1016/j.fcl.2005.01.002.
2
Insertional Achilles tendinopathy.插入性跟腱病
Foot Ankle Clin. 2005 Jun;10(2):309-20. doi: 10.1016/j.fcl.2005.01.010.
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Tendinopathy of the main body of the Achilles tendon.跟腱主体的肌腱病
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Management of chronic Achilles tendinopathy.慢性跟腱病的管理
Drug Ther Bull. 2012 Aug;50(8):93-6. doi: 10.1136/dtb.2012.08.0124.
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Chronic Achilles tendinopathy: a prospective randomized study comparing the therapeutic effect of eccentric training, the AirHeel brace, and a combination of both.慢性跟腱病:一项比较离心训练、AirHeel支具及两者联合治疗效果的前瞻性随机研究。
Am J Sports Med. 2007 Oct;35(10):1659-67. doi: 10.1177/0363546507303558. Epub 2007 Jun 14.
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Eccentric loading versus eccentric loading plus shock-wave treatment for midportion achilles tendinopathy: a randomized controlled trial.离心负荷与离心负荷加冲击波治疗中部跟腱病的随机对照试验。
Am J Sports Med. 2009 Mar;37(3):463-70. doi: 10.1177/0363546508326983. Epub 2008 Dec 15.
7
[Guideline 'Chronic Achilles tendinopathy, in particular tendinosis, in sportsmen/sportswomen'].[《运动员慢性跟腱病,尤其是跟腱变性的指南》]
Ned Tijdschr Geneeskd. 2007 Oct 20;151(42):2319-24.
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Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy.冲击波疗法治疗慢性跟腱病:一项疗效的双盲随机临床试验
Acta Orthop. 2008 Apr;79(2):249-56. doi: 10.1080/17453670710015058.
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Mid-portion Achilles tendinopathy--current options for treatment.跟腱中段肌腱病——当前的治疗选择
Disabil Rehabil. 2008;30(20-22):1666-76. doi: 10.1080/09638280701785825.
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Rehabilitation of Achilles and patellar tendinopathies.跟腱和髌腱病的康复治疗
Best Pract Res Clin Rheumatol. 2007 Apr;21(2):295-316. doi: 10.1016/j.berh.2006.12.003.

引用本文的文献

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A comparison between the efficacy of eccentric exercise and extracorporeal shock wave therapy on tendon thickness, vascularity, and elasticity in Achilles tendinopathy: A randomized controlled trial.离心运动与体外冲击波疗法对跟腱病肌腱厚度、血管化及弹性影响的疗效比较:一项随机对照试验
Turk J Phys Med Rehabil. 2022 Aug 25;68(3):372-380. doi: 10.5606/tftrd.2022.8113. eCollection 2022 Sep.
2
Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography.肩袖肌腱病中无撕裂的冈上肌腱的超声弹性成像表现:与磁共振成像及传统超声检查的比较
J Ultrasound. 2014 Dec 7;18(2):143-9. doi: 10.1007/s40477-014-0148-8. eCollection 2015 Jun.
3
New options in the management of tendinopathy.肌腱病管理的新选择。
Open Access J Sports Med. 2010 Mar 31;1:29-37. doi: 10.2147/oajsm.s7751.
4
Current opinions on tendinopathy.关于肌腱病的当前观点。
J Sports Sci Med. 2011 Jun 1;10(2):238-53.
5
Impact of autologous blood injections in treatment of mid-portion Achilles tendinopathy: double blind randomised controlled trial.自体血注射治疗中段跟腱腱病的效果:双盲随机对照试验。
BMJ. 2013 Apr 18;346:f2310. doi: 10.1136/bmj.f2310.
6
Achilles tendon rupture following surgical management for tendinopathy: a case report.肌腱病手术治疗后跟腱断裂:一例报告
BMC Musculoskelet Disord. 2007 Feb 27;8:19. doi: 10.1186/1471-2474-8-19.
7
The additional value of a night splint to eccentric exercises in chronic midportion Achilles tendinopathy: a randomised controlled trial.夜间夹板对慢性跟腱中部肌腱病进行离心运动的附加价值:一项随机对照试验。
Br J Sports Med. 2007 Jul;41(7):e5. doi: 10.1136/bjsm.2006.032532. Epub 2006 Dec 18.