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首页> 外文期刊>Operative techniques in sports medicine >Insertional Achilies Tendon Injuries in the Athlete
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Insertional Achilies Tendon Injuries in the Athlete

机译：在运动员中插入achilles肌腱伤害

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Insertional Achilles tendon injuries are common among running and jumping athletes of all age ranges. Injuries to this site are often due to an overuse mechanism and are especially common in individuals who continue to participate in sports into middle age and beyond. They present with a broad spectrum of severity and chronicity from mild acute tendonitis to partial or complete tendon rupture. The causes of injuries and conditions of the distal Achilles tendon are often multifactorial and may include biomechanical factors, training errors, and medications that predispose the tendon to degeneration or tear. It is this variability of cause, severity, and chronicity coupled with many athletes' unwillingness to alter or curtail the inciting activity that makes determination of an ideal treatment option a challenge. Nonsurgical management, which may consist of oral nonsteroidal anti-inflammatory medications, physical therapy, shoewear modification, and training alterations, has been the mainstay of treatment for patients with tendon inflammation and early degeneration. However, when injuries become more chronic and debilitating or when complete rupture occurs at the calcaneal insertion, debridement to remove degenerative tissue and repair using a calcaneal anchor-based suture bridge are required. Augmentation of the repair with transfer of the flexor hallucis longus tendon may be required if more than 50% of the tendon has been damaged or if extensive debridement leads to inadequate tendon length. Recently, biological treatment options as well as less invasive procedures have become available for stimulating tendon healing. (C) 2017 Elsevier Inc. All rights reserved.
机译：插入achilles肌腱伤害在各种范围的跑步和跳跃运动员之间是常见的。该网站的伤害往往是由于过度使用的机制，并且在继续参与体育进入中年和超越体育的个人中特别常见。它们呈现出广泛的严重程度和从轻度急性肌腱炎到部分或完全肌腱破裂的严重程度和慢性。远端角膜肌腱的损伤和条件的原因通常是多因素，并且可能包括生物力学因素，训练错误和易于倾向于变性或撕裂的药物。这是导致，严重程度和慢性的这种变化，与许多运动员不愿意改变或减少煽动活动，使得确定理想的治疗选择成为挑战。不包括口腔非甾体类抗炎药，物理治疗，鞋膜改性和训练改变的非诊断管理是对肌腱炎症和早期变性的患者进行治疗的主要原因。然而，当伤害变得更加慢性和衰弱或者当在钙膜插入时发生完全破裂时，需要使用基于转舵锚的缝合桥去除退行组织和修复的清新。如果超过50％的肌腱损坏或者广泛的清创导致肌腱长度不足，则可能需要使用屈肌uplucis肌腱的转移的修复。最近，生物治疗方案以及较少的侵入手术可用于刺激肌腱愈合。 （c）2017年Elsevier Inc.保留所有权利。

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