Jhingan Sachin, Perry Mark, O'Driscoll Gary, Lewin Colin, Teatino Raphael, Malliaras Peter, Maffulli Nicola, Morrissey Dylan
Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, London, UK.
Muscles Ligaments Tendons J. 2011 Dec 29;1(2):51-6. Print 2011 Apr.
The primary aim of this prospective cohort study was to compare the incidence of Achilles tendinopathy symptoms in elite soccer players with and without baseline asymptomatic ultrasound abnormalities. This study also investigated the relationship between baseline tendon thickness and development of symptoms. Using ultrasonography, 18 players were examined in 2009 for the existence of hypoechoicity, paratenon blurring, focal thickening and/or neovascularisation, and anteroposterior tendon thickness was measured. Symptom development during the follow-up period was assessed by interview one year later. Baseline mid-tendon thickness was greater (p=0.041) in tendons that experienced symptoms [median (IQR): 0.53 (0.51-0.55) cm] in the following year than tendons remaining asymptomatic [0.48 (0.45-0.52) cm]. No association between the existence of baseline ultrasound signs and development of symptoms in the following year was observed (Chi-Square: 1.180, p=0.277). A thicker baseline mid-tendon thickness was identified as a risk indicator for the development of Achilles tendinopathy in elite soccer players.
这项前瞻性队列研究的主要目的是比较有和没有基线无症状超声异常的精英足球运动员跟腱病症状的发生率。本研究还调查了基线肌腱厚度与症状发展之间的关系。2009年，使用超声检查了18名运动员，以确定是否存在低回声、腱周模糊、局灶性增厚和/或新生血管形成，并测量了肌腱的前后厚度。一年后通过访谈评估随访期间的症状发展情况。次年出现症状的肌腱的基线肌腱中部厚度更大（p = 0.041）[中位数（四分位间距）：0.53（0.51 - 0.55）cm]，而无症状的肌腱为[0.48（0.45 - 0.52）cm]。未观察到基线超声征象的存在与次年症状发展之间存在关联（卡方检验：1.180，p = 0.277）。基线肌腱中部厚度较大被确定为精英足球运动员跟腱病发展的风险指标。
