[阿基里斯肌的病理]
F Leiß1, J-F Spörrer2, J Grifka2
1Orthopädische Klinik der Universität Regensburg, Asklepios Klinikum Bad Abbach, Kaiser-Karl-V.-Allee 3, 93077, Bad Abbach, Deutschland. franziska.leiss@ukr.de.
Orthopadie (Heidelberg, Germany)
|September 22, 2023
概括
阿基里斯肌疼痛,包括插入性和非插入性肌病,需要仔细的诊断和治疗. 保守的方法如NSAIDs,休息和古怪的拉伸是主要的,如果这些失败,则考虑手术.
科学领域:
- 整形外科和运动医学
- 放射学 放射学是一门学科.
- 物理疗法物理治疗
背景情况:
- 在临床实践中,阿基里斯肌病理很普遍.
- 这些疾病被分为插入性或非插入性肌病.
- 风险因素包括内在因素,如糖尿病,以及外在因素,如过度使用和跑步.
研究的目的:
- 提供阿基里斯肌病理的全面概述.
- 概述诊断成像方法和治疗策略.
- 要区分保守和外科手术的管理方法.
主要方法:
- 审查已建立的诊断成像技术,包括超声波,X射线和MRI.
- 分析保守的治疗选择:NSAIDs,身体休息,辅助设备,古怪的拉伸,冲击波疗法和富血小板血注射.
- 考虑对保守护理不反应的病例进行手术干预.
主要成果:
- 保守的管理是主要的治疗方法.
- 非类固醇抗炎药物 (NSAIDs),休息和辅助设备是第一线治疗方法.
- 奇特的拉伸,冲击波疗法和富血小板血注射是既定的保守程序.
结论:
- 阿基里斯肌病理需要根据个体患者的因素制定量身定制的治疗策略.
- 在考虑手术选项之前,应该尽量使用保守的治疗方法.
- 外科手术,包括微创,内镜或开放式除菌,仅适用于耐火病例.
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