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関連する概念動画

Muscles of the Leg that Move the Foot and Toes01:28

Muscles of the Leg that Move the Foot and Toes

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
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The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
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Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Muscles that Move the Leg01:23

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The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
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The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
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アキレスの上で歩く

Nicola Maffulli1,2,3, Filippo Spiezia4,5, Filippo Migliorini6,7

  • 1Department of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University La Sapienza, Piazzale Aldo Moro, Rome 00185, Italy.

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|February 16, 2026
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まとめ

修正された"歩行アキレス"テクニックは,アキレスの破裂に対する従来の修復と比較可能な結果を提供します. この最小侵襲的アプローチは,患者の結果を損なうことなく,近隣のストンプの握り力による課題を効果的に解決します.

キーワード:
アキレスの破裂局所麻酔による局所麻酔です.皮膚経由で修復する

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科学分野:

  • 整形外科 整形外科
  • スポーツ医学 スポーツ医学
  • トラウマトロジーはトラウマトロジーの治療法です.

背景:

  • アキレスの破裂の皮膚経由の修復は,近接茎の握り力が不十分であるため,難しいことがあります.
  • "歩いているアキレス"というテクニックは,縫合の握力を高めるために追加の刺傷創傷を作成することを意味します.
  • このテクニックは,最初のグリップが不十分である場合に,最小侵襲的な修復を促進することを目的としています.

研究 の 目的:

  • "歩いているアキレス"の技術と,アキレスの破裂に対する伝統的な縫合修復の成果を比較する.
  • アキレスの修復のための改変された皮膚経によるアプローチの有効性と安全性を評価する.

主な方法:

  • ある研究では,アキレスが破裂した36人の患者が2つのグループに分けられ",アキレスを歩く"と"伝統的な修復"が行われました.
  • "歩いているアキレス筋"のグループは,握り力を高めるために追加された刺傷による修正技術を使用した.
  • 結果は,アキレスの休憩角度 (ATRA),アキレスの全破裂スコア (ATRS),機能スコアを含むさまざまな測定法を使用して評価されました.

主要な成果:

  • この2つのグループでは,ATRA,ATRS,小腿周長,同位体強度,スポーツ時間への復帰,欧州足と足首協会 (EFAS) スコア,または患者報告結果測定値 (PROMs) で有意な差異は見られなかった.
  • 9つの刺傷を伴う改造されたテクニックは,わずかな処置時間を追加したが,7つの刺傷テクニックと同様の結果をもたらした.
  • アキレスの破裂の皮膚経由的管理は,さまざまな報告された結果を持つ課題を提示します.

結論:

  • "歩いているアキレス"のテクニックは,アキレスの最小侵襲的皮間修復の際に,近接茎の握りによる困難を効果的に克服します.
  • この修正されたアプローチにより,外科医は,オープンな処置に頼らずに,皮膚経由の修復を継続することができます.
  • この研究は,修正技術と従来の修復方法の間の機能的および患者報告の結果が比較可能であることを示しています.