Uquillas Carlos A, Guss Michael S, Ryan Devon J, Jazrawi Laith M, Strauss Eric J
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003. E-mail address for C.A. Uquillas:
J Bone Joint Surg Am. 2015 Jul 15;97(14):1187-95. doi: 10.2106/JBJS.O.00002.
Achilles tendon pathology is common and affects athletes and nonathletes alike. The cause is multifactorial and controversial, involving biological, anatomical, and mechanical factors. A variety of conditions characterized by Achilles tendon inflammation and/or degeneration can be clinically and histologically differentiated. These include insertional Achilles tendinopathy, retrocalcaneal bursitis, Achilles paratenonitis, Achilles tendinosis, and Achilles paratenonitis with tendinosis. The mainstay of treatment for all of these diagnoses is nonoperative. There is a large body of evidence addressing treatment of acute and chronic Achilles tendon ruptures; however, controversy remains.
跟腱病变很常见,影响运动员和非运动员。其病因是多因素的且存在争议,涉及生物学、解剖学和力学因素。多种以跟腱炎症和/或退变为特征的病症可在临床和组织学上进行区分。这些病症包括跟腱附着点病、跟腱后滑囊炎、跟腱周围炎、跟腱病以及合并跟腱病的跟腱周围炎。所有这些诊断的主要治疗方法是非手术治疗。有大量证据涉及急性和慢性跟腱断裂的治疗;然而,争议仍然存在。