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Điều trị Chấn thương gân

Khi số lượng người Ai Tham gia vào các hoạt động thể thao của họ đã tăng lên vào năm sau, vì vậy tỷ lệ lạm dụng ĐÃ Chấn thương đến gân Achilles. Các nguyên nhân của những vấn đề IS đa yếu tố, bao gồm các yếu tố cơ sinh học bằng cách đào tạo và sai sót. Sử dụng một chương trình mô bệnh học phân loại chấn thương này | Achilles Tendon Inj uries Charles L. Saltzman MD and David S. Tearse MD Abstract As the number of persons who participate in athletic activity into their later years has increased so has the incidence of overuse injuries to the Achilles tendon. The etiology of these problems is multifactorial and includes biomechanical factors and training errors. Use of a histopathologic scheme for classification of these injuries facilitates a logical approach to treatment. Conservative care is a mainstay of treatment for inflammatory conditions. Satisfactory outcomes may be obtained with either nonoperative or operative treatment of acute ruptures although surgically treated patients appear to recover better functional capacity. Treatment of neglected injuries to the Achilles tendon continues to be a challenging problem. J Am Acad Orthop Surg 1998 6 316-325 Insufficient preparation overstrain lack of general conditioning and the pressure to succeed in sports all contribute to injury of the tendon named after the seemingly invincible Greek warrior Achilles. Participants in any sport involving repetitive impact loading associated with jumping are at an increased risk for Achilles tendon difficulties. In a prospective study of serious runners approximately 10 had Achilles tendon problems within the 1-year observation period.1 However a fourth of all patients who present with Achilles tendon injuries give no history of athletic involvement or antecedent trauma. Etiology Most Achilles tendon problems are related to overuse injuries and are multifactorial in origin. The principal factors include host susceptibility and mechanical overload. The primary host factors are biome chanical malalignments in the lower extremity and increasing age. Both hyperpronation and cavus foot have been associated with Achilles tendon problems. Marked forefoot varus has been found to be more common in athletes with Achilles paratenonitis and insertional complaints.2 The cavus foot has also been associated