The risk:benefit of autotransfusion — comparison to banked blood in a canine model: Silva R, Moore EE, Bar-Or D, et al J Trauma 24:557–564 Jul 1984
✍ Scribed by Bruce Campana
- Book ID
- 104313466
- Publisher
- Elsevier Science
- Year
- 1985
- Tongue
- English
- Weight
- 213 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1097-6760
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✦ Synopsis
Different treatment modalities have been proposed for the athlete with Achilles tendinitis and peritendinitis. The authors report a study in which 109 runners were treated conservatively, without immobilization, for overuse injury to the Achilles tendon. The three most prevalent etiologic factors in causing this injury were overtraining (82 patients), functional overpronation (61 patients), and gastrocnemius/ soleus insufficiency in strength and flexibility (41 cases). The treatment involved gastrocnemius and soleus muscle retraining and flexibility exercises for all patients. Corrective running orthotic devices, heel lifts, or a change of running shoe were prescribed when indicated. Oral antiinflammatory medications were given to 61 patients. A symptomatic reduction in training volume and intensity was employed in 78 patients. Seventy:three excellent results, 12 good results, and one fair result were achieved with a mean recovery time of 5 weeks. Follow-up was incomplete in 23 cases. The authors conclude that almost all Cases of Achilles tendon injury result from structural or dynamic disturbances in lower leg mechanics, and that active treatment regimens should be employed to establish normal function to prevent recurrence.