Achilles Tendon Injuries in Athletes

摘要: Two-thirds of Achilles tendon injuries in competitive athletes are paratenonitis and one-fifth insertional complaints (bursitis insertion tendinitis). The remaining afflictions consist pain syndromes the myotendineal junction tendinopathies. majority from sport occur males, mainly because their higher rates participation sport, but also with tendinopathies a gender difference is probably indicated. Athletes running sports have high incidence overuse injuries. About 75% total partial ruptures related to activities usually involving abrupt repetitive jumping sprinting movements. Mechanical factors sedentary lifestyle play role pathology these at rate older than most other typical Recreational complete rupture about 15 years younger those spontaneous ruptures. Following surgery, 70 90% successful comeback after injury. Surgery required 25% frequency surgery increases patient age duration symptoms as well occurrence tendinopathic changes. However, 20% injured require re-operation for injuries, 3 5% compelled abandon career Myotendineal should be treated conservatively. Partial primarily conservatively, although best treatment method chronic seems surgery. Complete surgically, this likelihood reaching preinjury activity levels minimises risk re-ruptures. Marked forefoot varus found reflecting predisposing ankle joint overpronation. major stress lower extremities often limited range motion passive dorsiflexion subtalar mobility, which factor Various transient one-third injuries; these, traumatic (mostly minor injuries) predominate. histological features chronically inflamed paratendineal tissue profound proliferation loose, immature connective marked obliterative degenerative alterations blood vessels. These changes cause continuing leakage plasma proteins, may an important pathophysiology tissues do not seem enough capacity form mature tissue.