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腓骨肌腱疾病

Peroneal Tendon Disorders.

作者信息

Roster Brent, Michelier Patrick, Giza Eric

机构信息

Missoula Bone & Joint, 2360 Mullan Road, Suite C, Missoula, MT 59808, USA.

University of California Davis School of Medicine, 4860 Y Street, Suite 3800, Sacramento, CA 95817, USA.

出版信息

Clin Sports Med. 2015 Oct;34(4):625-41. doi: 10.1016/j.csm.2015.06.003. Epub 2015 Jul 31.

Abstract

Peroneal tendon pathology is often found in patients complaining of lateral ankle pain and instability. Conditions encountered include tendinosis; tendinopathy; tenosynovitis; tears of the peroneus brevis, peroneus longus, and both tendons; subluxation and dislocation; and painful os peroneum syndrome. Injuries can be acute as a result of trauma or present as chronic problems, often in patients with predisposing structural components such as hindfoot varus, lateral ligamentous instability, an enlarged peroneal tubercle, and a symptomatic os peroneum. Treatment begins with nonoperative care, but when surgery is required, reported results and return to sport are in general very good.

摘要

腓骨肌腱病变常见于主诉外踝疼痛和不稳的患者。所遇到的病症包括肌腱变性;肌腱病;腱鞘炎;腓骨短肌、腓骨长肌以及两条肌腱的撕裂;半脱位和脱位;以及疼痛性腓骨籽骨综合征。损伤可能因创伤而急性发生,或表现为慢性问题,常见于具有如后足内翻、外侧韧带不稳、腓骨结节增大以及有症状的腓骨籽骨等易感结构因素的患者。治疗始于非手术治疗,但当需要手术时,报告的结果和恢复运动的情况总体上非常好。

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