臨床整形外科57巻6号

2022年06月発行

特集 高齢者足部・足関節疾患　外来診療のコツとトピックス

アキレス腱症の診断と治療

著者： 岡田洋和¹

所属機関： ¹岡田整形外科

ページ範囲：P.773 - P.780

アキレス腱の痛みや腫れはスポーツや日常生活においてよくみられる．最近の病理組織学的研究によりアキレス腱の障害は腱の炎症ではなく，不完全な治癒反応よる腱の変性によるものとされる．アキレス腱の障害は，解剖学的な部位によって2つに分類され，大きく分けて踵骨とアキレス腱の付着部に病変を持つアキレス腱付着部症とアキレス腱の踵骨への付着部から2〜6cm近位に病変を持つ非付着部症(アキレス腱症)に分けられる．診断は身体所見に加え超音波検査，MRIが有用で，治療は保存治療が第1選択となる．

参考文献

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