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被忽视的跟腱断裂与类风湿关节炎相关：病例报告及文献复习。

Neglected Achilles tendon rupture associated with rheumatoid arthritis: a case report and a brief review of the literature.

机构信息

Orthopedics Department, Centro Hospitalar Universitário de São João, Porto, Portugal

Orthopedics Department, Centro Hospitalar Universitário de São João, Porto, Portugal.

出版信息

BMJ Case Rep. 2021 Jan 27;14(1):e239477. doi: 10.1136/bcr-2020-239477.

DOI:10.1136/bcr-2020-239477
PMID:33504535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7843341/
Abstract

We report a case about a 69-year-old man, suffering from rheumatoid arthritis, diagnosed with a neglected Achilles tendon rupture. Considering the large Achilles tendon gap and the bad quality of the autologous tendons caused by rheumatoid disease, a reconstruction using an Achilles tendon with calcaneus bone block allograft was performed, with excellent clinical and functional outcomes.

摘要

我们报告了一例 69 岁男性病例，患有类风湿性关节炎，被诊断为被忽视的跟腱断裂。考虑到跟腱间隙较大，以及类风湿病引起的自体肌腱质量较差，我们采用跟骨骨块同种异体肌腱重建跟腱，取得了良好的临床和功能效果。

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BMJ Case Rep. 2021 Jan 27;14(1):e239477. doi: 10.1136/bcr-2020-239477.
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本文引用的文献

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Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis.导致类风湿关节炎关节损伤的分子和细胞通路。
Mediators Inflamm. 2020 Mar 17;2020:3830212. doi: 10.1155/2020/3830212. eCollection 2020.
2
Tendon allograft for treatment of chronic Achilles tendon rupture: A systematic review.同种异体肌腱移植治疗慢性跟腱断裂：一项系统评价。
Foot Ankle Surg. 2019 Jun;25(3):252-257. doi: 10.1016/j.fas.2018.02.002. Epub 2018 Feb 10.
3
Chronic Achilles Ruptures: Reconstructive Options.慢性跟腱断裂：修复选择。
J Am Acad Orthop Surg. 2018 Nov 1;26(21):753-763. doi: 10.5435/JAAOS-D-17-00158.
4
Retrocalcaneal Bursitis Precedes or Accompanies Achilles Tendon Enthesitis in the Early Phase of Rheumatoid Arthritis.在类风湿关节炎早期，跟腱后滑囊炎先于或伴随跟腱附着点炎出现。
Clin Med Insights Arthritis Musculoskelet Disord. 2018 Jun 5;11:1179544118781094. doi: 10.1177/1179544118781094. eCollection 2018.
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Rheumatoid arthritis.类风湿关节炎
Lancet. 2016 Oct 22;388(10055):2023-2038. doi: 10.1016/S0140-6736(16)30173-8. Epub 2016 May 3.
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Ultrasound examination of symptomatic ankles in shorter-duration rheumatoid arthritis patients often reveals tenosynovitis.超声检查症状性踝关节在较短病程的类风湿关节炎患者中常可发现腱鞘炎。
Clin Exp Rheumatol. 2013 Mar-Apr;31(2):281-4. Epub 2012 Dec 6.
7
Neglected spontaneous rupture of the Achilles tendon in elderly patients with rheumatoid arthritis.被忽视的老年类风湿关节炎患者的自发性跟腱断裂。
J Clin Rheumatol. 2010 Aug;16(5):221-4. doi: 10.1097/RHU.0b013e3181e96cd6.
8
Epidemiology and genetics of rheumatoid arthritis.类风湿关节炎的流行病学与遗传学
Arthritis Res. 2002;4 Suppl 3(Suppl 3):S265-72. doi: 10.1186/ar578. Epub 2002 May 9.
9
Repair of neglected Achilles tendon ruptures with Marlex mesh.使用 Marlex 网片修复陈旧性跟腱断裂
Injury. 1996 Apr;27(3):215-7. doi: 10.1016/0020-1383(95)00214-6.
10
Spontaneous rupture of bilateral achilles tendon of a patient on long-term systemic steroid therapy.一名长期接受全身类固醇治疗的患者双侧跟腱自发性断裂。
Unfallheilkunde. 1984 Jan;87(1):35-6.