[Injuries of major tendons : Review of current diagnostic and surgical standards]

Chirurg. 2017 Feb;88(2):175-186. doi: 10.1007/s00104-016-0367-y.
[Article in German]

Abstract

Chronic degenerative tendon injuries as well as injuries due to acute high-energy trauma and incisional injuries are a significant aspect in the emergency surgery department. As a result of anatomical characteristics and exposure certain tendons are particularly vulnerable to injury. These include the biceps brachialis, quadriceps femoris, patella, achilles and tibialis anterior tendons. Besides the broad spectrum of non-surgical treatment, surgeons should have knowledge of the various surgical techniques including suturing, anchor refixation and reconstruction techniques. The indications for surgery are of particular importance for the clinical outcome of tendon injuries. The therapeutic approach should consider the patients biological age, functional requirements and pre-existing comorbid pathologies. Finally, adequate aftercare has been shown to significantly determine the surgical outcome.

Keywords: Achilles tendon; Biceps tendon; Patellar ligament; Quadriceps femoris tendon; Tibialis anterior tendon.

Publication types

  • Review

MeSH terms

  • Adult
  • Aftercare / standards
  • Age Factors
  • Aged
  • Chronic Disease
  • Comorbidity
  • Female
  • Humans
  • Male
  • Middle Aged
  • Plastic Surgery Procedures / standards
  • Rupture
  • Suture Anchors / standards*
  • Suture Techniques / standards*
  • Tendon Injuries / diagnosis*
  • Tendon Injuries / etiology
  • Tendon Injuries / physiopathology
  • Tendon Injuries / surgery*
  • Weight-Bearing / physiology