慢性跟腱疾病：肌腱病与慢性跟腱断裂
Chronic Achilles Tendon Disorders: Tendinopathy and Chronic Rupture.
作者信息
Maffulli Nicola, Via Alessio Giai, Oliva Francesco
机构信息
Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Via Allende, Baronissi, Salerno 84081, Italy; Department of Musculoskeletal Disorders, Centre for Sports and Exercise Medicine, Mile End Hospital, Barts and the London School of Medicine and Dentistry, Mary University of London, 275 Bancroft Road, London E1 4DG, UK.
Department of Orthopaedic and Traumatology, School of Medicine, University of Rome ''Tor Vergata", Viale Oxford 81, Rome 00133, Italy.
出版信息
Clin Sports Med. 2015 Oct;34(4):607-24. doi: 10.1016/j.csm.2015.06.010. Epub 2015 Jul 31.
Tendinopathy of the Achilles tendon involves clinical conditions in and around the tendon and it is the result of a failure of a chronic healing response. Although several conservative therapeutic options have been proposed, few of them are supported by randomized controlled trials. The management is primarily conservative and many patients respond well to conservative measures. If clinical conditions do not improve after 6 months of conservative management, surgery is recommended. The management of chronic ruptures is different from that of acute ruptures. The optimal surgical procedure is still debated. In this article chronic Achilles tendon disorders are debated and evidence-based medicine treatment strategies are discussed.
跟腱病涉及肌腱及其周围的临床病症，是慢性愈合反应失败的结果。尽管已经提出了几种保守治疗方案，但其中很少有得到随机对照试验支持的。治疗主要是保守的，许多患者对保守措施反应良好。如果经过6个月的保守治疗临床病症没有改善，则建议进行手术。慢性断裂的治疗与急性断裂不同。最佳手术方法仍存在争议。本文对慢性跟腱疾病进行了讨论，并探讨了循证医学治疗策略。
Zotero 插件