[Sub-Achilles bursitis--a biomechanical analysis and clinical study].
Chronic inflammations of the distal Achilles tendon correspond frequently to a mechanical irritation of the subcalcaneal bursa. On grounds of the biomechanical analysis an excessive inward bending of the hindfoot is postulated as the reason. So a conception for the clinical therapy is detected. The first measure will be a statics correction of the foot and a local application of antalgics. In case of unsuccessfulness after 3 months the surgical resection of the calcaneus exostosis is performed. After 3 months of conservative treatment 15 of 24 athletic patients are free of pain. The other 9 patients are free of pain 3 months after the surgical treatment. In either case all patients return to their former sports activity 6 months after the beginning of the treatment.
Hintermann
B
B
Orthopädische Universitätsklinik Basel.
Holzach
P
P
D000125:Achilles Tendon / Q000503:physiopathology* / Q000601:surgery; D000328:Adult; D002062:Bursitis / Q000503:physiopathology* / Q000601:surgery; D002111:Calcaneus / Q000503:physiopathology / Q000601:surgery; D012090:Cumulative Trauma Disorders / Q000503:physiopathology / Q000601:surgery; D005096:Exostoses / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012420:Running; D052256:Tendinopathy / Q000503:physiopathology* / Q000601:surgery; D016474:Weight-Bearing / Q000502:physiology
Die Bursitis subachillea--eine biomechanische Analyse und klinische Studie.