Department of Orthopaedic Surgery, Academic Medical Center, DE Amsterdam, The Netherlands.
Knee Surg Sports Traumatol Arthrosc. 2011 Aug;19(8):1362-6. doi: 10.1007/s00167-011-1514-0. Epub 2011 May 4.
Achilles tendinopathy is a problem that is generally difficult to treat. The pain is frequently most prominent on the medial side of the mid-portion of the tendon, where the plantaris tendon is running parallel to the Achilles tendon. The purpose of this study was to assess whether excision of the plantaris tendon would relieve symptoms.
Three patients with pain and stiffness at the mid-portion of the Achilles tendon were treated by excision of the plantaris tendon. Preoperatively, these patients experienced recognizable tenderness on palpation of the medial side of the mid-portion of the Achilles tendon with localized nodular thickening at 4-7 cm proximal to the insertion. MRI indicated Achilles tendinopathy with the involvement of the plantaris tendon.
The plantaris tendon was bluntly retrieved and excised with a tendon stripper through a 4-cm incision in the proximal calf. We report a good-to-excellent outcome of this novel procedure in three patients with chronic mid-portion Achilles tendinopathy
The medial pain might be based on the involvement of the plantaris tendon in the process.
IV.
跟腱病是一种通常难以治疗的问题。疼痛通常在跟腱中部的内侧最为明显，而足底肌腱与跟腱平行。本研究的目的是评估切除足底肌腱是否能缓解症状。
3 名跟腱中部疼痛和僵硬的患者接受了足底肌腱切除术。术前，这些患者在跟腱中部的内侧可触及明显压痛，并在附着点近端 4-7cm 处有局部结节性增厚。MRI 显示跟腱病伴有足底肌腱受累。
通过在小腿近端 4cm 的切口，使用肌腱剥离器钝性取出并切除足底肌腱。我们报告了 3 例慢性跟腱中部跟腱病患者采用这种新手术方法的良好至优秀结果。
内侧疼痛可能是足底肌腱受累所致。
IV 级。
