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Operative Behandlung der Schmerzsyndrome der Achillessehne

Surgical treatment for pain syndromes of the Achilles tendon

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Zusammenfassung

Zu den Schmerzsyndromen der Achillessehne gehören sowohl Insertionstendopathien als auch Tendopathien der freien Sehnenanteile. Es handelt sich um 2 verschiedene Erkrankungen mit unterschiedlichen zugrunde liegenden pathophysiologischen Bedingungen und Therapieoptionen. Typisch sind der Schmerz, die Funktionseinschränkung sowie die Schwellung in und um die Sehne. Es wird eine Übersicht über die chirurgischen Therapieoptionen von Schmerzsyndromen der Achillessehne, einschließlich der Insertionstendopathien der Achillessehne und der Tendopathien ihres Hauptanteils, gegeben. Neue minimalinvasive Techniken zur Therapie dieser Erkrankung einschließlich der Endoskopie werden ebenfalls dargestellt.

Abstract

Pain syndromes of the Achilles tendon (AT) include both insertional and non-insertional tendinopathy, two distinct disorders with different underlying pathophysiologies and management options, characterized by pain, impaired performance and swelling in and around the tendon. This article gives an overview of the operative treatment of pain syndromes of the Achilles tendon, including both insertional tendinopathy of the AT and tendinopathy of the main body of the AT. New minimally invasive techniques for the management of this condition, including endoscopy are also reported.

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Authors and Affiliations

  1. Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts, and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, E1 4DG, London, England

    N. Maffulli MD, MS, PhD, FRCS(Orth) & T. Hüfner

  2. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italien

    U.G. Longo & V. Denaro

Authors
  1. N. Maffulli MD, MS, PhD, FRCS(Orth)
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  2. U.G. Longo
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  3. T. Hüfner
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  4. V. Denaro
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Corresponding author

Correspondence to N. Maffulli MD, MS, PhD, FRCS(Orth).

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Maffulli, N., Longo, U., Hüfner, T. et al. Operative Behandlung der Schmerzsyndrome der Achillessehne. Unfallchirurg 113, 721–725 (2010). https://doi.org/10.1007/s00113-010-1834-4

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  • DOI: https://doi.org/10.1007/s00113-010-1834-4

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