最近审阅: 6 十一月 2020
最近更新: 11 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 症状的急性发作
  • 损伤机制
  • 严重疼痛
  • 肿胀
  • 青肿
  • 在跟腱正常位置可触及间隙(跟腱断裂)
  • 腓肠肌挤压试验阳性(跟腱断裂)
  • Matles 试验阳性(跟腱断裂)
  • 二头肌挤压试验阳性(二头肌腱断裂)
  • 牵引钩试验阳性(二头肌腱断裂)
  • 爆裂声
  • 畸形

其他诊断因素

  • 先前的损伤
  • 症状持续超过几天
  • 关节活动受限
  • 无力

危险因素

  • 运动类型(篮球、滑冰、足球、身体接触运动)
  • 解剖变异
  • 离心运动
  • 羽状肌结构和 II 型肌纤维(快肌)
  • 跨 2 个关节的肌肉肌腱单位
  • 踝关节扭伤既往史

诊断性检查

首要检查

  • X 线检查
  • 磁共振成像 (MRI)
  • 非韧带损伤超声检查
更多 首要检查

治疗流程

撰稿人

Staff Orthopaedic Surgeon

Department of Orthopaedics

VA Medical Center

Cheyenne

WY

利益声明

SNS declares that he has no competing interests.

Assistant Professor

Department of Orthopaedic Surgery

Virginia Commonwealth University

Richmond

VA

利益声明

VM is an editorial board member, European Journal of Orthopaedic Surgery & Traumatology.

Spinal Clinical Research Fellow

Queens Medical Centre

Nottingham

UK

利益声明

SRM declares that he has no competing interests.

Dr Senthil N. Sambandam, Dr Varatharaj Mounasamy, and Dr Sakthivel Rajaram Manoharan would like to gratefully acknowledge Dr Issada Thongtrangan, a previous contributor to this monograph. IT declares that he has no competing interests.

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Assistant Professor

Department of Orthopaedics

University of Virginia

Charlottesville

VA

利益声明

QC declares that he has no competing interests.

Professor of Trauma and Orthopaedic Surgery

University Hospital of North Staffordshire

Keele University School of Medicine

Stoke on Trent

UK

利益声明

NM is an author of a study referenced in this monograph.

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