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Etiology of Achilles Tendinopathy: Inflammation versus Overuse

아킬레스 건염? 염증이라고 다 같은 염증이 아니야

  • Kim, Dae-Yoo (Department of Orthopedic Surgery, Inje University Busan Paik Hospital) ;
  • Lee, Dong Yeon (Department of Orthopedic Surgery, Seoul National University Hospital)
  • 김대유 (인제대학교 부산백병원 정형외과) ;
  • 이동연 (서울대학교병원 정형외과)
  • Received : 2021.04.19
  • Accepted : 2021.06.01
  • Published : 2021.06.15

Abstract

It is widely acknowledged that Achilles tendinopathy and resultant degeneration of the Achilles tendon could be either due to vigorous physical exertion or due to inflammation of the tendon associated with systemic disease. The overuse injuries are generally multifactorial in origin and are caused by repetitive strain of the affected tendon till the tendon can no longer endure the tensile stress. Various alignment and biomechanical faults are claimed to play a causative role. Only 2% of patients complaining of Achilles tendon pain are caused by systemic disease. However, to ensure the right approach to treatment, it is necessary to rule out inflammatory tendinitis caused by systemic diseases such as rheumatoid arthritis, gout, and seronegative spondyloarthrosis.

Keywords

References

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