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Z Orthop Unfall 2010; 148(1): 80-82
DOI: 10.1055/s-0029-1186111
Trauma

© Georg Thieme Verlag KG Stuttgart · New York

Minimalinvasive Naht einer impingementbedingten Partialruptur der distalen ventralen Achillessehne bei einer Topathletin

Minimally Invasive Repair of an Impingement Induced Partial Tear of the Anterior Achilles tendon in a Top Level AthleteH. Lohrer1
  • 1Orthopädische Abteilung, Sportmedizinisches Institut, Frankfurt am Main
Further Information

Publication History

Publication Date:
19 October 2009 (online)

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Zusammenfassung

Ziel: Präsentation einer bisher kaum beachteten Achillessehnenläsion und Rekonstruktion. Methode: Auswertung klinischer Aufzeichnungen. Ergebnisse: Transversale laterale Inzision (3 cm). Resektion von Bursa subachillea und Haglund-Höcker. Transversale Naht der ventralen Achillessehnenpartialruptur. Schlussfolgerung: Die minimalinvasive Naht einer ventralen Partialruptur der Achillessehne ist möglich und effektiv.

Abstract

Aim: A rarely described Achilles tendon lesion resulting from Haglund's disease and its repair is presented. Method: An analysis of the respective clinical records was carried out. Results: Haglund's resection was performed from a 3 cm lateral transverse approach. A coincidental anterior Achilles tendon partial tear was repaired by transversal U-sutures. Conclusion: A minimally invasive repair of a partial tear of the anterior Achilles tendon is feasible and effective.

Schlüsselwörter

Impingementläsion der Achillessehne - Achillessehnenteilruptur - Haglund‐Pseudoexostose - Bursitis subachillea - Achillessehnenrekonstruktion

Key words

Achilles tendon impingement lesion - Achilles tendon partial tear - resection of Haglund's tuberosity - retrocalcaneal bursitis - insertional Achilles tendinopathy

Literatur

  • 1 Lohrer H, Arentz S. [Impingement lesion of the distal anterior Achilles tendon in sub-Achilles bursitis and Haglund-pseudoexostosis – a therapeutic challenge].  Sportverletz Sportschaden. 2003;  17 181-188
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Lohrer H, Arentz S, Nauck T et al. The Achilles tendon insertion is crescent-shaped: an in vitro anatomic investigation.  Clin Orthop Relat Res. 2008;  466 2230-2237
    CrossrefPubMedSearch in Google Scholar
  • 3 van Dijk C N, van Dyk G E, Scholten P E et al. Endoscopic calcaneoplasty.  Am J Sports Med. 2001;  29 185-189
    PubMedSearch in Google Scholar
  • 4 Leitze Z, Sella E J, Aversa J M. Endoscopic decompression of the retrocalcaneal space.  J Bone Joint Surg [Am]. 2003;  85 1488-1496
    PubMedSearch in Google Scholar
  • 5 Arentz S, Lohrer H, Dorn N V et al. Die Höhe macht's!.  Orthopädieschuhtechnik. 2006;  (2) 29-33
    PubMedSearch in Google Scholar
  • 6 Sammarco G J, Taylor A L. Operative management of Haglund's deformity in the nonathlete: a retrospective study.  Foot Ankle Int. 1998;  19 724-729
    PubMedSearch in Google Scholar

Prof. Dr. med. Heinz Lohrer

Sportmedizinisches Institut

Otto-Fleck-Schneise 10

60528 Frankfurt am Main

Phone: 0 69/67 80 09 33

Fax: 0 69/67 80 09 53

Email: lohrer@smi-frankfurt.de