Tarantino Domiziano, Palermi Stefano, Sirico Felice, Corrado Bruno
Department of Public Health, University Federico II of Naples, 80131 Naples, Italy.
J Funct Morphol Kinesiol. 2020 Dec 17;5(4):95. doi: 10.3390/jfmk5040095.
The Achilles tendon is the thickest, strongest and largest tendon in the human body, but despite its size and tensile strength, it frequently gets injured. Achilles tendon ruptures (ATRs) mainly occur during sports activities, and their incidence has increased over the last few decades. Achilles tendon tears necessitate a prolonged recovery time, sometimes leaving long-term functional limitations. Treatment options include conservative treatment and surgical repair. There is no consensus on which is the best treatment for ATRs, and their management is still controversial. Limited scientific evidence is available for optimized rehabilitation regimen and on the course of recovery after ATRs. Furthermore, there are no universally accepted outcomes regarding the return to play (RTP) process. Therefore, the aim of this narrative review is to give an insight into the mechanism of injuries of an ATR, related principles of rehabilitation, and RTP.
跟腱是人体最粗、最强壮且最大的肌腱，但尽管其尺寸和抗拉强度较大，却经常受伤。跟腱断裂（ATRs）主要发生在体育活动期间，且在过去几十年中其发病率有所上升。跟腱撕裂需要较长的恢复时间，有时会留下长期的功能限制。治疗选择包括保守治疗和手术修复。对于ATRs哪种是最佳治疗方法尚无共识，其治疗仍存在争议。关于优化康复方案以及ATRs后恢复过程的科学证据有限。此外，关于重返比赛（RTP）过程没有普遍接受的结果。因此，本叙述性综述的目的是深入了解ATRs的损伤机制、相关康复原则以及RTP。
