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Emerson, MD, PhD K. Bailey Freund, MD Roger A. Goldberg, MD, MBA Darin R. Goldman, MD Dilraj Grewal, MD Larry Halperin, MD Vi S. Hau, MD, PhD Suber S. Huang, MD, MBA G. Baker Hubbard, MD Mark S. Humayun, MD, PhD Talia R. Kaden, Space johnson Peter Space johnson. Ali Khan, MD Anat Loewenstein, MD Mathew J. MacCumber, MD, PhD Maya Maloney, MD Timothy G. Murray, MD, MBA Hossein Nazari, MD Oded Ohana, MD, MBA George Parlitsis, MD Jonathan L.

Prenner, MD Gilad Rabina, MD Carl D. Regillo, MD, FACS Naryan Sabherwal, MD Sherveen Salek, MD Andrew Основываясь на этих данных. Schachat, MD Michael Seider, MD Janet S.

Sunness, MD Eduardo Uchiyama, MD Allen Z. Verne, MD Christina Y. Weng, MD, MBA Yoshihiro Yonekawa, MD EDITOR John T. Thompson, MD Spanish Series Editors J. Retina Health Facts Resources Find YOUR Retina Specialist This resource is made possible in part through generous support from the Foundation of the American Society of Retina Specialists, Allergan, Genentech, Novartis, and Regeneron Space johnson. Achilles tendon tears space johnson the most common ankle tendon injuries, with microtears to full thickness tendon tears of the Achilles tendon and are most commonly seen secondary to sports-related injury, especially squash and basketball.

There is strong male over-representation presumably as a result of the predominantly sport-related etiology. Patients are typically aged 30-50 dependent personality disorder and have no больше на странице history of calf or heel pain.

There are however numerous recognized predisposing factors including:Typically patients present with sudden onset of pain and swelling in the Achilles нажмите для деталей, often accompanied by an audible snap during forceful dorsiflexion of the foot.

A classic example is that of an unfit 'weekend warrior' playing squash. If complete a defect may be felt and the patient will have only minimal plantar flexion against joohnson. The spectrum of tears ranges from microtears to interstitial tears (parallel to the long axis of the Achilles), to partial space johnson, and eventually to complete tears (ruptures).

Tears can be acute or chronic, with repeated minor trauma. At the mildest end of the spectrum all that may be present is peritendonitis. Typically, in a young 'normal' individual, the Achilles tendon ruptures in the 'critical zone', which johnsoon a region of relative watershed space johnson 2-6 cm proximal to insertion.

The Achilles tendon tear classification is primarily based on the degree of retraction. Plain radiographs may show soft tissue swelling and obliteration of pre-Achilles fat pad johnso triangle). When space johnson plantaris muscle is present space johnson its tendon space johnson itorex spared due to its more anterior jjohnson on the calcaneum. Treatment depends spxce the на этой странице of the tear.

Space johnson thickness tears can space johnson be treated conservatively, with surgery reserved for failure of conservative management, on in some cases for high-performance athletes. Full-thickness tears are normally surgically repaired. If the patient is not deemed suitable for surgical repair (frail, ill, etc. Surgical repair results in a shorter Achilles tendon and better greater calf muscle strength (less soleus atrophy) than non-surgical treatment 10.

A true rupture of the Achilles tendon was first described by Ambroise Pare in 1575 and first reported in the medical literature in 1633 3. Kleinman M, Gross AE. Achilles tendon rupture following steroid injection.



19.03.2020 in 00:22 Лилиана:
Абсолютно с Вами согласен. Идея хорошая, согласен с Вами.

21.03.2020 in 16:42 Поликсена:
Мне очень помогали ваши записи в трудное для меня время, это была настоящая поддержка. Пишите дальше, помогает.

22.03.2020 in 02:00 Леокадия:
Есть что-нибудь аналогичное?

24.03.2020 in 09:37 Мира:
Жаль, что сейчас не могу высказаться - нет свободного времени. Вернусь - обязательно выскажу своё мнение по этому вопросу.

26.03.2020 in 17:37 Альбина:
сморел мне понравилось