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Titolo:
Chronic Achilles tendinosis - Recommendations for treatment and prevention
Autore:
Alfredson, H; Lorentzon, R;
Indirizzi:
Umea Univ, Dept Surg & Perioperat Sci, S-90187 Umea, Sweden Umea Univ Umea Sweden S-90187 urg & Perioperat Sci, S-90187 Umea, Sweden Natl Inst Working Life, Dept Musculoskeletal Res, Umea, Sweden Natl Inst Working Life Umea Sweden pt Musculoskeletal Res, Umea, Sweden
Titolo Testata:
SPORTS MEDICINE
fascicolo: 2, volume: 29, anno: 2000,
pagine: 135 - 146
SICI:
0112-1642(200002)29:2<135:CAT-RF>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
TENDON OVERUSE INJURIES; CALF MUSCLE STRENGTH; SURGICAL-MANAGEMENT; MAGNETIC-RESONANCE; SPORTS INJURY; TENDINITIS; TENDINOPATHY; DISORDERS; ULTRASONOGRAPHY; IMMOBILIZATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
73
Recensione:
Indirizzi per estratti:
Indirizzo: Alfredson, H Umea Univ, Dept Surg & Perioperat Sci, S-90187 Umea, Sweden Umea Univ Umea Sweden S-90187 rat Sci, S-90187 Umea, Sweden
Citazione:
H. Alfredson e R. Lorentzon, "Chronic Achilles tendinosis - Recommendations for treatment and prevention", SPORT MED, 29(2), 2000, pp. 135-146

Abstract

Chronic Achilles tendinosis is a condition with an unknown aetiology and pathogenesis that is often, but not always, associated with pain during loading of the Achilles tendon. Histologically, there are no inflammatory cells, but increased amounts of interfibrillar glycosaminoglycans and changes inthe collagen fibre structure and arrangement are seen. In situ microdialysis has confirmed the absence of inflammation. It is a condition that is most often seen among recreational male runners aged between 35 and 45 years, and it is most often considered to be associated with overuse. However, this condition is also seen in patients with a sedentary lifestyle. Chronic Achilles tendinosis is considered a troublesome injury to treat. Nonsurgical treatment most often includes a combination of rest, NSAIDs, correction of malalignments, and stretching and strengthening exercises, but there is sparse scientific evidence supporting the use of most proposed treatment regimens. It has been stated that, in general, nonsurgical treatment is not successful and surgical treatment is required in about 25% of patients. However, in a recent prospective study, treatment with heavy load eccentric calf muscle training showed very promising results and may possibly reduce the need for surgical treatment of tendinosis located in the midportion of the Achilles tendon. The short term results after surgical treatment are frequently very good, but in the few studies with long term follow-up there are signs of a possible deterioration with time. Calf muscle strength takes a long time to recover and, furthermore, a prolonged progressive calcaneal bone loss has been shown on the operated side up to 1 year after surgical treatment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 10:58:59