Thermann H
HKF - Internationales Zentrum für Hüft‑, Knie- und Fußchirurgie, ATOS Klinik Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Deutschland.
Chirurg. 2019 Oct;90(10):863-872. doi: 10.1007/s00104-019-01024-6.
The Achilles tendon is the strongest tendon in the human body. Rupture of the Achilles tendon prevents the transmission of forces from the calf muscles to the foot and thus the push-off phase of walking and running is no longer possible. The diagnostics of Achilles tendon rupture are typically based on the symptoms and clinical examination. A palpable gap and the Thompson test are sometimes difficult to evaluate in situations with a large hematoma. Benchmarking for a definitive rupture is the inability to perform a one leg heel raise. Sonography is used to determine the localization of the Achilles tendon and during the dynamic examination enables detection of a possible adaptation of the tendon ends. A complete adaptation of the tendon ends gives the possibility of conservative treatment. Sonographic control examinations after 4 and 8 weeks document the course of healing. A visible increase in volume, especially at the rupture site confirms a normal course of healing. Magnetic resonance imaging enables verification of an Achilles tendon rupture and provides more information about the tendon structure.
跟腱是人体最强壮的肌腱。跟腱断裂会阻止小腿肌肉的力量传递到足部，因此步行和跑步的蹬离阶段将不再可能。跟腱断裂的诊断通常基于症状和临床检查。在有大血肿的情况下，有时很难评估可触及的间隙和汤普森试验。明确断裂的标准是无法单腿提踵。超声检查用于确定跟腱的位置，在动态检查中能够检测到肌腱断端可能的适应性变化。肌腱断端完全适应使得保守治疗成为可能。4周和8周后的超声对照检查记录愈合过程。体积明显增加，尤其是在断裂部位，证实愈合过程正常。磁共振成像能够验证跟腱断裂，并提供有关肌腱结构的更多信息。
