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对跟腱相关疾病术语的认识日益统一。

Increasing consensus on terminology of Achilles tendon-related disorders.

机构信息

Department of Orthopedic Surgery, Amsterdam UMC, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.

Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2021 Aug;29(8):2528-2534. doi: 10.1007/s00167-021-06566-z. Epub 2021 May 15.

DOI:10.1007/s00167-021-06566-z
PMID:33991210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8298365/
Abstract

PURPOSE

Aims of this study are to evaluate the current terminology and assess the influence of the latest proposals on the terminology used for Achilles tendon-related disorders in both daily practice and literature.

METHODS

(1) All orthopedic surgeons experienced in the field of foot and ankle surgery of the Ankleplatform Study Group were invited to participate in this survey by email. They were requested to fill out a survey on terminology in six typical cases with Achilles tendon-related disorders. (2) A systematic literature search of Achilles tendon-related disorders was performed in eight foot and ankle journals in Medline, Embase (Classic) from 2000 to 2016. All extracted terms were counted and compared to the terminology proposals, based on anatomic location, symptoms, clinical findings and histopathology.

RESULTS

(1) In total, 141 of the 283 (50%) orthopedic surgeons responded to the survey. In five out of six cases with Achilles tendon-related disorders, the majority gave an answer according to latest proposals. (2) An overview of terminology used for Achilles tendon-related disorders from 2000 to 2016 shows an increase in use of terminology according to the latest proposals based on anatomic location, symptoms, clinical findings and histopathology.

CONCLUSION

The revised terminology for Achilles tendon-related disorders based on anatomic location, symptoms, clinical findings and histopathology is used by the majority of orthopedic surgeons and is increasingly used in the literature. However, the indistinct Haglund eponyms are still frequently used in Achilles tendon-related terminology.

LEVEL OF EVIDENCE

Level IV.

摘要

目的

本研究旨在评估当前的术语，并评估最新提案对日常实践和文献中与跟腱相关疾病使用的术语的影响。

方法

（1）通过电子邮件邀请参与足踝外科领域的踝关节研究平台的所有骨科医生参与这项调查。要求他们在六个具有跟腱相关疾病的典型病例中填写术语调查。（2）在 Medline 和 Embase（Classic）中对 2000 年至 2016 年的 8 种足踝期刊中的与跟腱相关疾病相关的文献进行了系统的文献检索。根据解剖位置、症状、临床发现和组织病理学，对所有提取的术语进行计数并与术语提案进行比较。

结果

（1）在 283 名骨科医生中，共有 141 名（50%）对调查做出了回应。在六个具有跟腱相关疾病的病例中，大多数人根据最新提案给出了答案。（2）2000 年至 2016 年期间与跟腱相关疾病相关的术语概述显示，根据解剖位置、症状、临床发现和组织病理学，根据最新提案使用的术语有所增加。

结论

基于解剖位置、症状、临床发现和组织病理学的与跟腱相关疾病的修订术语，被大多数骨科医生所采用，并且在文献中越来越多地被使用。然而，仍有许多跟腱相关疾病的术语中存在不明确的 Haglund 别名。

证据等级

IV 级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/6866edfcd85c/167_2021_6566_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/1bc7bded5e11/167_2021_6566_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/3ba92be6b996/167_2021_6566_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/6866edfcd85c/167_2021_6566_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/1bc7bded5e11/167_2021_6566_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/3ba92be6b996/167_2021_6566_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b62/8298365/6866edfcd85c/167_2021_6566_Fig3_HTML.jpg

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