Perry Mark, Tillett Eleanor, Mitchell Sophie, Maffulli Nicola, Morrissey Dylan
National Clinical Guideline Centre, Royal College of Physicians, London, UK.
Muscles Ligaments Tendons J. 2012 Sep 10;2(2):108-14. Print 2012 Apr.
This cross-sectional study assessed the prevalence of Achilles tendinopathy symptoms and ultrasound (US) abnormalities in male and female ice skaters, and compared this to age-matched controls. The 20 skaters of mean (sd) age 17.3 (7.9) were recruited from British figure skating clubs. The 17 non-skaters of mean age 18.0 (3.7) were recruited from a secondary school and university. Each group had 12 females. All participants completed a questionnaire, and Achilles tendons were ultrasound-scanned for thickening, hypoechoic areas, paratenon blurring and neovascularization. Skaters experienced significantly more lifetime symptoms (p=0.012) than the control group but there were no differences in present symptoms. Mid-tendon longitudinal thickness and the coefficient of variation (CoV) for longitudinal tendon thickness were significantly greater in the skaters (p=0.001 and p=0.017 respectively). No other ultrasound abnormalities were detected in either group. Figure skaters may be at a greater risk of Achilles tendon problems than the general population and have adaptive changes in their tendons.
这项横断面研究评估了男女花样滑冰运动员跟腱病症状的患病率以及超声（US）异常情况，并将其与年龄匹配的对照组进行比较。从英国花样滑冰俱乐部招募了20名平均（标准差）年龄为17.3（7.9）岁的滑冰运动员。从一所中学和大学招募了17名平均年龄为18.0（3.7）岁的非滑冰者。每组有12名女性。所有参与者都完成了一份问卷，并对跟腱进行了超声扫描，以检查增厚、低回声区域、腱周模糊和新生血管情况。滑冰运动员一生中经历的症状明显多于对照组（p = 0.012），但目前症状没有差异。滑冰运动员的肌腱中部纵向厚度和纵向肌腱厚度的变异系数（CoV）明显更大（分别为p = 0.001和p = 0.017）。两组均未检测到其他超声异常。花样滑冰运动员可能比一般人群更容易出现跟腱问题，并且其肌腱有适应性变化。
