Endoscopic Achilles Tenolysis for Management of Heel Cord Pain after Repair of Acute Rupture of Achilles Tendon

被引:8
作者
Lui, Tun Hing [1 ]
机构
[1] N Dist Hosp, Dept Orthopaed & Traumatol, Sheung Shui, Hong Kong, Peoples R China
关键词
calcaneus; endoscopy; injury; pain; rupture; tendoscopy; TENDINOSIS;
D O I
10.1053/j.jfas.2012.09.007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tendon pain after repair of an acute Achilles tendon rupture can result from suture granuloma formation, modification of the threshold of the pain receptors inside the tendon by scar tissue, expansion of the paratenon by tendon enlargement with secondary stimulation of mechanoreceptors, or underlying tendon degeneration. In the present technique report, an endoscopic technique of Achilles tenolysis for denervation and debulking is described that might be applicable in cases in which conservative treatment fails to alleviate the pain. (C) 2013 by the American College of Foot and Ankle Surgeons. All rights reserved.
引用
收藏
页码:125 / 127
页数:3
相关论文
共 15 条
[1]   Midportion Achilles tendinosis and the plantaris tendon [J].
Alfredson, Hakan .
BRITISH JOURNAL OF SPORTS MEDICINE, 2011, 45 (13) :1023-1025
[2]   Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis [J].
Andersson, Gustav ;
Danielson, Patrik ;
Alfredson, Hakan ;
Forsgren, Sture .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2007, 15 (10) :1272-1279
[3]   The innervation pattern of the human Achilles tendon: studies of the normal and tendinosis tendon with markers for general and sensory innervation [J].
Bjur, D ;
Alfredson, H ;
Forsgren, S .
CELL AND TISSUE RESEARCH, 2005, 320 (01) :201-206
[4]  
Maffulli N, 2010, OPEN ACCESS J SPORTS, V1, P29
[5]   Endoscopic surgery in chronic achilles tendinopathies: A preliminary report [J].
Maquirriain, J ;
Ayerza, M ;
Costa-Paz, M ;
Muscolo, DL .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2002, 18 (03) :298-303
[6]   Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons:: an ultrasonographic investigation [J].
Öhberg, L ;
Lorentzon, R ;
Alfredson, H .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2001, 9 (04) :233-238
[7]   Microcirculatory effects of topical glyceryl trinitrate on the Achilles tendon microcirculation in patients with previous Achilles tendon rupture [J].
Osadnik, Rafal ;
Redeker, Joern ;
Kraemer, Robert ;
Vogt, Peter M. ;
Knobloch, Karsten .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2010, 18 (07) :977-981
[8]   Endoscopic surgery of the Achilles tendon [J].
Phinit Phisitkul .
Current Reviews in Musculoskeletal Medicine, 2012, 5 (2) :156-163
[9]  
Rebeccato A, 2001, J Foot Ankle Surg, V40, P188
[10]   Achilles tendinosis is associated with sprouting of substance P positive nerve fibres [J].
Schubert, TEO ;
Weidler, C ;
Lerch, K ;
Hofstädter, F ;
Straub, RH .
ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 (07) :1083-1086