Chao W, Deland J T, Bates J E, Kenneally S M
Hospital for Special Surgery, New York, NY 10021, USA.
Foot Ankle Int. 1997 Feb;18(2):81-4. doi: 10.1177/107110079701800207.
Seventeen adult fresh-frozen below-knee amputation cadaver specimens were studied. Calcific Achilles tendinitis was present in three specimens. After exposing the Achilles tendon insertion on the calcaneus, the insertion was outlined with waterproof paint. The specimens were photographed on a special plexiglass apparatus to highlight important findings. For the purpose of showing the length of insertion on lateral radiographs, lead beads were placed on the most superior and most inferior aspects of the insertion. All specimens showed that the tendon terminated at the medial and lateral bone borders of the calcaneus without significant extension around the medial or lateral wall. All specimens revealed a greater distance of insertion on the medial calcaneus than on the lateral side. In the specimens that had calcific Achilles tendinitis, the posterior bone surface of the spurs was devoid of tendinous insertion, instead, the insertion occurred between the spur and the posterior wall of the calcaneus. All spurs were located laterally at the most inferior border of the tendon insertion.
研究了17个成人新鲜冷冻的膝下截肢尸体标本。三个标本存在钙化性跟腱炎。在暴露跟腱在跟骨上的附着点后，用防水漆勾勒出附着点。在一个特殊的有机玻璃装置上对标本进行拍照，以突出重要发现。为了在侧位X线片上显示附着点的长度，在附着点的最上和最下方面放置铅珠。所有标本均显示肌腱在跟骨的内侧和外侧骨边界处终止，未在 medial 或外侧壁周围显著延伸。所有标本显示跟骨内侧的附着点距离比外侧更大。在有钙化性跟腱炎的标本中，骨刺的后骨表面没有肌腱附着，相反，附着发生在骨刺和跟骨后壁之间。所有骨刺都位于肌腱附着点最下边界的外侧。
