Schönbauer H R
Wien Klin Wochenschr Suppl. 1986;168:1-47.
In this report diseases of the Achilles tendon are discussed. First an anatomical survey of this region is presented including anatomical variations together with the results of the author's own investigations on corpses. Certain positions and insertions of the plantaris tendon with respect to the Achilles tendon may have pathological influence. Pathological aspects are discussed after a review of the physiology of the Achilles tendon, including functional and tensile tests. The clinical picture changes according to the location of the pathological disorder--tendon, paratenon, insertion and bursae--and whether the disease is acute or chronic. There are various reasons for degenerative changes in the tendon, which can even lead to rupture. Surgical and non-surgical treatment and their indications are presented. In conclusion treatment methods and their results for 36 cases are given.
本报告讨论了跟腱疾病。首先对该区域进行解剖学概述,包括解剖变异以及作者本人对尸体的研究结果。跖肌腱相对于跟腱的某些位置和附着点可能具有病理影响。在回顾跟腱生理学,包括功能和拉伸试验之后,讨论病理方面。临床表现根据病理紊乱的位置——肌腱、腱周组织、附着点和滑囊——以及疾病是急性还是慢性而有所变化。肌腱发生退行性改变有多种原因,甚至可导致断裂。介绍了手术和非手术治疗及其适应症。最后给出了36例病例的治疗方法及其结果。