Achillodynie

详细信息    查看全文

• 作者：Dr. M. Geyer (1) (2)
  
• 关键词：Achillessehne ; Achillodynie ; Adipositas ; Fersensporn ; Haglund ; Exostose ; Achilles tendinitis ; Haglunds deformity ; Calcaneal spur ; Overweight
• 刊名：Der Orthop?de
• 出版年：2005
• 出版时间：July 2005
• 年：2005
• 卷：34
• 期：7
• 页码：677-681
• 全文大小：1467KB
• 参考文献：1. Lohrer H (1996) Die Achillodynie 鈥?Eine 脺bersicht. Sportorthop Sporttraumatol 12: 36鈥?2
  2. Schepsis AA, Jones H, Hass AL (2002) Achilles tendon disorders in athletes. Am J Sports Med 30: 287鈥?05
  3. Schuchardt E (1989) Die operative Behandlung der Achillodynie. Operat Orthop Traumatol 1: 200鈥?05
  4. Segesser B, Nigg BM (1980) Insertionstendopathien am Schienbein, Achillodynie und 脺berlastungsfolgen am Fu脽 鈥?脛tiologie, Biomechanik, therapeutische M枚glichkeiten. Orthop盲de 9: 207鈥?14
  5. Yodlowski ML, Scheller AD, Minos L (2002) Surgical Treatment of achilles tendinitis by decompression of the retrocalcaneal bursa and the superior calcaneal tuberosity. Am J Sports Med Vol 30: 318鈥?21
  
• 作者单位：Dr. M. Geyer (1) (2)
  
  1. Orthop盲dische Chirurgie, Krankenhaus St. Vinzenz, Pfronten/Allg盲u
  2. Orthop盲dische Chirurgie, Krankenhaus St. Vinzenz, Kirchenweg 15a, 87459, Pfronten/Allg盲u
  

文摘

Achilles tendinitis and posterior heel pain are caused by a wide variety of disorders. Understanding of the functional anatomy and pathomechanics of the Achilles tendon is essential for diagnosis and adequate therapy. Possible causes for heel pain include paratenonitis, tendinitis, tendinitis with partial rupture, insertional tendinitis, subachilles and retroachilles bursitis, Haglunds deformity and calcaneal spur. These chronic overuse symptoms may be triggered by pes plano valgus, lateral ankle instability, hyperlaxity, malalignement of the lower extremity, forefoot or hip disorders. In obese patients the deforming forces on the rear foot position and thereby overuse of the achillis tendon due to the overweight are increased. Lack of training with loss of muscular compensation or forefoot disorders also favor overuse problems. A sudden increase of load in an attempt of loosing weight by unaccustomed exercise, without giving the tissue adequate time for adaptation may lead to the start of the symptoms. Therapy of Achilles tendinitis is preferably conservative, in chronic cases operative therapy depends on the structures involved.