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超声对跟腱及其束的复杂解剖结构和生物力学动态的见解：一篇图文并茂的文章。

Ultrasonographic insights into the complex anatomy and biomechanical dynamics of the Achilles tendon and its fascicles: a pictorial essay.

作者信息

Massimo Stella Salvatore, Fabio Vita, Al Khayyat Suhel Gabriele, Danilo Donati, Barbara Ciampi, Marco Becciolini, Roberto Tedeschi, Cesare Faldini, Stefano Galletti

机构信息

Advanced Musculoskeletal Ultrasound, Department of Clinical and Experimental Medicine, SIUMB School of Pisa, Santa Chiara University Hospital, Pisa, Italy.

IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedics and Traumatology Clinic, Bologna, Italy.

出版信息

J Ultrasound. 2025 Jun;28(2):505-516. doi: 10.1007/s40477-025-00987-z. Epub 2025 Feb 3.

DOI:10.1007/s40477-025-00987-z
PMID:39899233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12145380/
Abstract

This pictorial essay clarifies the complex anatomical and ultrasonographic features of the Achilles tendon. Utilizing high-frequency ultrasound probes (12-18 MHz), the study visualizes the tripartite segmentation of the tendon as it relates to anatomical fascicles. Notably, there is variability in the ultrasound visibility of fascicles and this partition influences biomechanical properties and susceptibility to injury. This essay not only enhances the understanding of Achilles tendon anatomy but also underscores the importance of anatomical knowledge for comprehending associated pathologies. The findings suggest potential areas for further research into tendon pathology, facilitating the development of targeted rehabilitation strategies.

摘要

这篇图文并茂的文章阐明了跟腱复杂的解剖学和超声特征。该研究使用高频超声探头（12 - 18兆赫），将肌腱的三分结构与其相关的解剖束联系起来进行可视化。值得注意的是，束的超声可见性存在差异，这种划分会影响生物力学特性和受伤易感性。这篇文章不仅增进了对跟腱解剖学的理解，还强调了解剖学知识对于理解相关病理的重要性。研究结果指出了肌腱病理学进一步研究的潜在领域，有助于制定有针对性的康复策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/41b9c8199def/40477_2025_987_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/8051290e3b5c/40477_2025_987_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/2c6dea5d58e1/40477_2025_987_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/bbda3c85dc73/40477_2025_987_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/e73eb05ba2c5/40477_2025_987_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/0593c45c3b85/40477_2025_987_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/77cc79756c25/40477_2025_987_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/acbfef81274b/40477_2025_987_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/1674e7abb257/40477_2025_987_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/3426886619e4/40477_2025_987_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/b5be40c896e4/40477_2025_987_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/e4f14e0d4202/40477_2025_987_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/41b9c8199def/40477_2025_987_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/8051290e3b5c/40477_2025_987_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/2c6dea5d58e1/40477_2025_987_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/bbda3c85dc73/40477_2025_987_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/e73eb05ba2c5/40477_2025_987_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/0593c45c3b85/40477_2025_987_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/77cc79756c25/40477_2025_987_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/acbfef81274b/40477_2025_987_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/1674e7abb257/40477_2025_987_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/3426886619e4/40477_2025_987_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/b5be40c896e4/40477_2025_987_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/e4f14e0d4202/40477_2025_987_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc38/12145380/41b9c8199def/40477_2025_987_Fig12_HTML.jpg

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