manuelletherapie 2014; 18(03): 107-112
DOI: 10.1055/s-0034-1383426
Schwerpunkt Achillodynie
Einführung
Georg Thieme Verlag KG Stuttgart · New York

Achillodynie: Pathophysiologie und Diagnostik

Anja Hirschmüller
1   Universitätsklinikum Freiburg, Hugstetterstraße 55, 79106 Freiburg
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
16. Juli 2014 (online)

Zusammenfassung

Die Achillesferse – wenn es sein muss, kommt sie mit Kräften zurecht, die dem Zwölffachen des Körpergewichts entsprechen. Doch schon Achilleus bereitete die kräftigste Sehne des Körpers Probleme – heute unterscheidet man bis zu zwölf Störungsursachen. Unsere Autorin stellt die wichtigsten vier und die diagnostische Differenzierung vor.

 
  • Literatur

  • 1 Abrahams Y, Laguette MJ, Prince S et al. Polymorphisms within the COL5A1 3‘-UTR that alters mRNA structure and the MIR608 gene are associated with Achilles tendinopathy. Ann Hum Genet 2013; 77: 204-214
  • 2 Ahmed IM, Lagopoulos M, McConnell P et al. Blood supply of the Achilles tendon. J Orthop Res 1998; 16: 591-596
  • 3 Alexander RM. Energy-saving mechanisms in walking and running. The Journal of experimental biology 1991; 160: 55-69
  • 4 Andersson G, Danielson P, Alfredson H et al. Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc 2007; 15: 1272-1279
  • 5 Baur H, Müller S, Hirschmüller A et al. Comparison in lower leg neuromuscular activity between runners with unilateral mid-portion Achilles tendinopathy and healthy individuals. J Electromyogr Kinesiol 2011; 21: 499-505
  • 6 Boushel R, Langberg H, Green S et al. Blood flow and oxygenation in peritendinous tissue and calf muscle during dynamic exercise in humans. The Journal of Physiology 2000; 524 Pt 1: 305-313
  • 7 Cassel M, Weber J, Mayer F. Tendinopathien der unteren Extremität im Sport. Orthopädie und Unfallchirurgie up2date 2012; 7: 167-183
  • 8 Donoghue OA, Harrison AJ, Coffey N et al. Functional data analysis of running kinematics in chronic Achilles tendon injury. Medicine and Science in Sports and Exercise 2008; 40: 1323
  • 9 Gaida JE, Alfredson L, Kiss ZS et al. Dyslipidemia in Achilles tendinopathy is characteristic of insulin resistance. Medicine and Science in Sports and Exercise 2009; 41: 1194-1197
  • 10 Gaida JE, Ashe MC, Bass SL et al. Is adiposity an under-recognized risk factor for tendinopathy? A systematic review. Arthritis and Rheumatism 2009; 61: 840-849
  • 11 Gaida JE, Cook JL, Bass SL. Adiposity and tendinopathy. Disability and Rehabilitation 2008; 30: 1555-1562
  • 12 Khan K, Cook J. The painful nonruptured tendon: clinical aspects. Clin Sports Med 2003; 22: 711-725
  • 13 Khan KM, Cook JL, Kannus P et al. Time to abandon the „tendinitis“ myth. BMJ Clinical Research Ed 2002; 324: 626-627
  • 14 Kjaer M, Langberg H, Miller BF et al. Metabolic activity and collagen turnover in human tendon in response to physical activity. Journal of Musculoskeletal & Neuronal Interactions 2005; 5: 41-52
  • 15 Knobloch K, Yoon U, Vogt PM. Acute and overuse injuries correlated to hours of training in master running athletes. Foot & ankle international/American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 2008; 29: 671-676
  • 16 Komi PV, Fukashiro S, Jarvinen M. Biomechanical loading of Achilles tendon during normal locomotion. Clinics in Sports Medicine 1992; 11: 521-531
  • 17 Komi PV, Salonen M, Jarvinen M et al. In vivo registration of Achilles tendon forces in man. I. Methodological development. International Journal of Sports Medicine 1987; 8 (Suppl. 01) 3-8
  • 18 Kraemer R, Wuerfel W, Lorenzen J et al. Knobloch K. Analysis of hereditary and medical risk factors in Achilles tendinopathy and Achilles tendon ruptures: A matched pair analysis. Archives of Orthopaedic and Trauma Surgery 2012; 132: 847-853
  • 19 Kvist M. Achilles tendon injuries in athletes. Sports Med 1994; 18: 173-201
  • 20 Langberg H, Skovgaard D, Petersen LJ et al. Type I collagen synthesis and degradation in peritendinous tissue after exercise determined by microdialysis in humans. The Journal of Physiology 1999; 521 Pt 1 299-306
  • 21 Legerlotz K, Schjerling P, Langberg H et al. The effect of running, strength, and vibration strength training on the mechanical, morphological, and biochemical properties of the Achilles tendon in rats. J Appl Physiol 2007; 102: 564-572
  • 22 Lopes AD, Hespanhol Junior LC, Yeung SS et al. What are the main running-related musculoskeletal injuries? A systematic review. Sports Med 2012; 42: 891-905
  • 23 Maffulli N, Sharma P, Luscombe KL. Achilles tendinopathy: aetiology and management. J R Soc Med 2004; 97: 472-476
  • 24 Magra M, Maffulli N. Genetics: Does it play a role in tendinopathy?. Clin J Sport Med 2007; 17: 231-233
  • 25 Movin T, Gad A, Reinholt FP et al. Tendon pathology in long-standing achillodynia. Biopsy findings in 40 patients Acta Orthopaedica Scandinavica 1997; 68: 170-175
  • 26 Munteanu SE, Barton CJ. Lower limb biomechanics during running in individuals with Achilles tendinopathy: A systematic review. J Foot Ankle Res 2011; 4: 15
  • 27 Nielsen Rò, Buist I, Sørensen H et al. Training errors and running related injuries: A systematic review. International Journal of Sports Physical Therapy 2012; 7: 58
  • 28 Öhberg L, Alfredson H. Ultrasound guided sclerosis of neovessels in painful chronic Achilles tendinosis: Pilot study of a new treatment. Br J Sports Med 2002; 36: 173-177
  • 29 Paavola M, Kannus P, Jarvinen TA et al. Achilles tendinopathy. J Bone Joint Surg Am 2002; 84–A: 2062-2076
  • 30 Petersen W, Pufe T, Pfrommer S et al. [Overload damage to the Achilles tendon: The importance of vascularization and angiogenesis]. Der Orthopäde 2005; 34: 533-542
  • 31 Ristolainen L, Heinonen A, Turunen H et al. Type of sport is related to injury profile: A study on cross country skiers, swimmers, long-distance runners and soccer players. A retrospective 12-month study Scand J Med Sci Sports 20: 384-393
  • 32 Ryan M, Grau S, Krauss I et al. Kinematic analysis of runners with achilles mid-portion tendinopathy. Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 2009; 30: 1190-1195
  • 33 Ryan M, Grau S, Krauss I et al. Kinematic analysis of runners with achilles mid-portion tendinopathy. Foot Ankle Int 2009; 30: 1190-1195
  • 34 Schünke M, Schulte E, Schumacher U. Prometheus. LernAtlas der Anatomie. Allgemeine Anatomie und Bewegungssystem. Illustrationen von M. Voll und K. Wesker 3. Aufl. Stuttgart: Thieme; 2011
  • 35 Taunton JE, Ryan MB, Clement DB et al. A prospective study of running injuries: The Vancouver Sun Run „In Training“ clinics. Br J Sports Med 2003; 37: 239-244
  • 36 Ulreich N, Kainberger F, Huber W et al. Achilles tendon and sports. Der Radiologe 2002; 42: 811-817
  • 37 Wilson AM, Goodship AE. Exercise-induced hyperthermia as a possible mechanism for tendon degeneration. Journal of Biomechanics 1994; 27: 899-905
  • 38 Zantop T, Tillmann B, Petersen W. Quantitative assessment of blood vessels of the human Achilles tendon: An immunohistochemical cadaver study. Archives of Orthopaedic and Trauma Surgery 2003; 123: 501-504
  • 39 Zschäbitz A. Anatomie und Verhalten von Sehnen und Bändern. Orthopäde 2005; 34: 516-525