Hirschmüller Anja, Morath Oliver
Altius Swiss Sportmed Center Ag, Habich-Dietschy-Str. 5a, 4310, Rheinfelden, Schweiz.
Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland.
Z Rheumatol. 2021 Sep;80(7):629-640. doi: 10.1007/s00393-021-01006-2. Epub 2021 Jul 21.
Disorders of the Achilles tendon are among the most frequent musculoskeletal injuries in athletes as well as in the general population. It is very important to differentiate the different clinical pictures summarized under the general term achillodynia and to understand the pathogenesis in order to undertake the correct therapeutic measures. In the case of insertional tendinopathies in particular, a rheumatological origin should be clarified. Doppler ultrasound is the most important diagnostic tool. Evidence-based treatment methods include various training programs, shock wave treatment, diverse injection and surgical procedures, each of which are discussed in detail in this article.
跟腱疾病是运动员以及普通人群中最常见的肌肉骨骼损伤之一。区分统称为跟腱痛的不同临床表现并了解其发病机制，对于采取正确的治疗措施非常重要。特别是在插入性肌腱病的情况下，应明确其风湿性起源。多普勒超声是最重要的诊断工具。循证治疗方法包括各种训练计划、冲击波治疗、多种注射和外科手术，本文将对每种方法进行详细讨论。
