Zusammenfassung
Überlastungs- bzw. Sportschäden sind am Fuß häufig zu beobachten und betreffen besonders die langen Flexions- und Extensorensehnen. Sie werden mit einem 4-stufigen Graduierungsschema, bei dem peritendinöse Entzündungen, degenerative Tendopathien und Rupturen berücksichtigt werden, quantitativ erfasst. Überlastungsbedingte Knochenmarködeme sind anhand ihres anatomischen Verteilungsmusters von Ödemen anderer Genese differenzierbar. Zur systematischen Diagnostik ist das Konzept der muskulotendinoossären Bewegungsketten hilfreich.
Abstract
Overuse syndromes due to lifestyle problems or sporting activities commonly lead to foot abnormalities. The tendons of the long flexor and extensor muscles are specifically prone to degeneration. The various disorders may be classified by a grading system that includes peritendinous inflammation, degenerative tendon disease, and ruptures. Bone marrow edema is another typical manifestation of overuse. It may be differentiated from inflammatory or traumatic forms of edema by its anatomic distribution. Systematic pattern recognition is based on the concept of musculotendinous and osseous kinetic chains.
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Kainberger, F., Peloschek, P., Weidekamm, C. et al. Überlastungssyndrome des Fußes. Radiologe 47, 210–215 (2007). https://doi.org/10.1007/s00117-007-1483-y
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DOI: https://doi.org/10.1007/s00117-007-1483-y