Resumo
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- 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
სხვა დიაგნოსტიკური ფაქტორები
- 先前的损伤
- 症状持续超过几天
- 关节活动度（ROM）受限
- 无力
რისკფაქტორები
- 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
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- X 线检查
- 磁共振成像 (MRI)
- 非韧带损伤超声检查
გასათვალისწინებელი კვლევები
- 诊断性关节镜检查
მკურნალობის ალგორითმი
最初 24 至 48 小时内的临床表现：怀疑不完全断裂（1 级或 2 级
最初 24 至 48 小时内的临床表现：确诊为完全断裂（3 级
在 1 周复查时疼痛加重和／或无功能改善
კონტრიბუტორები
ავტორები
Senthil N. Sambandam, MBBS, MS, MRCS(Edn)
Staff Orthopaedic Surgeon
Department of Orthopaedics
VA Medical Center
Cheyenne
WY
გაფრთხილება:
SNS declares that he has no competing interests.
Varatharaj Mounasamy, MD, FRCS
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.
Sakthivel Rajaram Manoharan, MD, MS
Spinal Clinical Research Fellow
Queens Medical Centre
Nottingham
UK
利益声明
SRM declares that he has no competing interests.
鸣谢
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 topic. IT declares that he has no competing interests.
同行评议者
Quanjun Cui, MD
Assistant Professor
Department of Orthopaedics
University of Virginia
Charlottesville
VA
利益声明
QC declares that he has no competing interests.
Nicola Maffulli, MD, MS, PhD, FRCS(Orth)
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 topic.
鉴别诊断
- 骨折
- 软骨损伤
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