Department of Orthopedic Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Hospital for Special Surgery, New York, NY, USA.
Biomed Res Int. 2017;2017:7021862. doi: 10.1155/2017/7021862. Epub 2017 Apr 30.
. Disorders of the Achilles tendon can be broadly classified into acute and chronic entities. Few studies have established chronic Achilles tendinopathy as a precursor to acute Achilles ruptures. In this study, we assessed the relationship between Achilles tendinopathy and rupture, clarifying the incidence of rupture in the setting of underlying tendinopathy. . The United Healthcare Orthopedic Dataset from the PearlDiver Patient Record Database was used to identify patients with ICD-9 codes for Achilles rupture and/or Achilles tendinopathy. The number of patients with acute rupture, chronic tendinopathy, and rupture following a prior diagnosis of tendinopathy was assessed. Four percent of patients with an underlying diagnosis of Achilles tendinopathy went on to sustain a rupture (7,232 patients). Older patients with tendinopathy were most vulnerable to subsequent rupture. . The current study demonstrates that 4.0% of patients who were previously diagnosed with Achilles tendinopathy sustained an Achilles tendon rupture. Additionally, older patients with Achilles tendinopathy were most vulnerable. These findings are important as they can help clinicians more objectively council patients with Achilles tendinopathy.
. 跟腱疾病可大致分为急性和慢性两类。鲜有研究表明慢性跟腱病是急性跟腱断裂的前兆。在本研究中，我们评估了跟腱病与断裂之间的关系，阐明了在存在跟腱病的情况下发生断裂的几率。. 本研究使用 PearlDiver 患者记录数据库中的 United Healthcare 骨科数据集来确定患有跟腱断裂和/或跟腱病 ICD-9 编码的患者。评估了急性断裂、慢性跟腱病以及在先前诊断为跟腱病后发生断裂的患者数量。4%的有潜在跟腱病诊断的患者发生了断裂（7232 例患者）。患有跟腱病的老年患者更容易发生后续断裂。. 本研究表明，4.0%的先前被诊断为跟腱病的患者发生了跟腱断裂。此外，患有跟腱病的老年患者最易发生。这些发现很重要，因为它们可以帮助临床医生更客观地为跟腱病患者提供咨询。
