跟腱损伤
Achilles tendon injuries.
作者信息
Egger Anthony C, Berkowitz Mark J
机构信息
Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, 2049 E 100th St, Desk A40, Cleveland, OH, 44195, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Mar;10(1):72-80. doi: 10.1007/s12178-017-9386-7.
PURPOSE OF REVIEW
The purpose of this study is to review the current literature of Achilles tendon injuries, specifically chronic tendinopathy and acute ruptures in regard to etiology, diagnosis, treatment options, and outcomes.
RECENT FINDINGS
The incidence of Achilles tendon injuries is increasing, but the necessity for surgical intervention is decreasing due to improved conservative therapies, which may provide comparable outcomes without the implied surgical risk. If surgery is undertaken, no difference has been noted between open and minimally invasive techniques. The majority of patients are able to return to pre-injury level of activity, with the elite athlete as an unfortunate exception. Achilles injuries can be devastating injuries, but if addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality implemented. Further research is needed into the etiology, potential preventative measures, and longer-term outcomes of the different treatment options for wide range of Achilles pathology.
综述目的
本研究旨在回顾当前有关跟腱损伤的文献，特别是针对慢性肌腱病和急性断裂在病因、诊断、治疗选择及结果方面的研究。
最新发现
跟腱损伤的发生率正在上升，但由于保守治疗方法的改进，手术干预的必要性正在降低，保守治疗可能在不承担手术风险的情况下提供相当的治疗效果。如果进行手术，开放手术和微创手术之间未发现差异。大多数患者能够恢复到受伤前的活动水平，精英运动员是不幸的例外。跟腱损伤可能是严重的损伤，但如果早期得到适当治疗，无论采用何种治疗方式，大多数患者自我报告的长期结果都良好。对于各种跟腱病变的不同治疗选择的病因、潜在预防措施和长期结果，还需要进一步研究。
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