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跟腱疾病的诊断与治疗:苏格兰迷雾。

Diagnosis and management of Achilles tendon ailments: the Scottish mist.

机构信息

Department of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University La Sapienza, 00185, Rome, Italy.

School of Pharmacy and Bioengineering, Faculty of Medicine, Keele University, Stoke On Trent, ST4 7QB, UK.

出版信息

J Orthop Surg Res. 2024 Feb 9;19(1):130. doi: 10.1186/s13018-024-04560-y.

DOI:10.1186/s13018-024-04560-y
PMID:38336789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10858472/
Abstract

The diagnosis and management of Achilles tendon ailments continue to be widely discussed by the scientific community. Also, the nomenclature used to describe the tendinopathic lesion in patients changed over the last decades together with the evolution in the knowledge of the physiopathology of Achilles tendinopathy, and unfortunately, through ignorance and possibly laziness, confusion still abounds. To emerge from these foggy paths, some clarifications are still necessary. The present Editorial tries to clarify some of these issues.

摘要

跟腱疾病的诊断和治疗一直是科学界广泛讨论的话题。此外,过去几十年来,用于描述患者肌腱病变的术语也发生了变化,同时跟腱病生理学知识也在不断发展,但不幸的是,由于无知和可能的懒惰,仍然存在很多混淆。为了摆脱这些模糊的认识,还需要一些澄清。本期社论试图澄清其中的一些问题。

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本文引用的文献

1
Diagnostic Imaging for Achilles Tendinopathy: Unnecessary Scans? Valuable Insights? Multidisciplinary Clinician-Scientists Present a Nuanced View.跟腱病的诊断影像学检查:有无必要?是否有价值?多学科临床医师科学家提供了一个细致入微的视角。
J Orthop Sports Phys Ther. 2024 Jan;54(1):6-9. doi: 10.2519/jospt.2023.12255.
2
Tendon appearance at imaging may be altered, but it may not indicate pathology.肌腱在影像学上的表现可能会发生改变,但这并不一定表明存在病理学改变。
Knee Surg Sports Traumatol Arthrosc. 2023 May;31(5):1625-1628. doi: 10.1007/s00167-023-07339-6. Epub 2023 Feb 17.
3
Significance of Asymptomatic Tendon Pathology in Athletes.运动员无症状肌腱病变的意义
Curr Sports Med Rep. 2019 Jun;18(6):192-200. doi: 10.1249/JSR.0000000000000600.
4
Intratendinous tears of the Achilles tendon - a new pathology? Analysis of a large 4-year cohort.跟腱腱内撕裂——一种新的病理情况?一项为期4年的大型队列研究分析
Muscles Ligaments Tendons J. 2017 May 10;7(1):53-61. doi: 10.11138/mltj/2017.7.1.053. eCollection 2017 Jan-Mar.
5
Inflammation in tendinopathy.肌腱病中的炎症
Surgeon. 2017 Oct;15(5):297-302. doi: 10.1016/j.surge.2017.04.004. Epub 2017 Jun 7.
6
Inflammation in overuse tendon injuries.过度使用性肌腱损伤中的炎症
Sports Med Arthrosc Rev. 2011 Sep;19(3):213-7. doi: 10.1097/JSA.0b013e31820e6a92.
7
Terminology for Achilles tendon related disorders.跟腱相关疾病术语。
Knee Surg Sports Traumatol Arthrosc. 2011 May;19(5):835-41. doi: 10.1007/s00167-010-1374-z. Epub 2011 Jan 11.
8
Management of tendinopathy.腱病的治疗。
Am J Sports Med. 2009 Sep;37(9):1855-67. doi: 10.1177/0363546508324283. Epub 2009 Feb 2.
9
Biology of tendon injury: healing, modeling and remodeling.肌腱损伤生物学:愈合、塑形与重塑
J Musculoskelet Neuronal Interact. 2006 Apr-Jun;6(2):181-90.
10
Overuse tendon conditions: time to change a confusing terminology.过度使用性肌腱病症:是时候改变这一令人困惑的术语了。
Arthroscopy. 1998 Nov-Dec;14(8):840-3. doi: 10.1016/s0749-8063(98)70021-0.