J Am Podiatr Med Assoc. 2020 Nov 1;110(6). doi: 10.7547/17-193.
A rare case of painful snapping around the Achilles tendon without reported injury in a healthy 30-year-old male amateur runner is reported. The plantaris tendon was firmly attached to the Achilles tendon by adhesions, and its movement was restricted and impaired. All adhesions were removed and the plantaris tendon was liberated during surgery, with an excellent outcome. This case showed that previously described removal of the snapping tendon is not necessary because liberation of the plantaris tendon restored function of both the plantaris and the Achilles tendons.
本文报告了一例罕见的无明确外伤史的健康 30 岁男性业余跑步者跟腱周围疼痛性弹响。跟腱与跖肌腱之间存在紧密粘连，导致跖肌腱活动受限和功能受损。手术中清除了所有的粘连，使跖肌腱得到松解，取得了良好的效果。本病例表明，先前描述的弹响肌腱切除术并非必要，因为跖肌腱松解可以恢复跖肌腱和跟腱的功能。
