关键词: Consensus Diagnostics Dislocation Guideline Peroneal tendons Rehabilitation Tear Tendon Treatment

Mesh : Ankle Injuries / diagnosis therapy Humans Tendinopathy / diagnosis therapy Tendon Injuries / diagnosis therapy Tendons / anatomy & histology pathology

来  源:   DOI:10.1007/s00167-018-4971-x   PDF(Pubmed)

Abstract:
Peroneal tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of peroneal tendon pathologies.
The purpose of this ESSKA-AFAS consensus statement was to conduct an international and multidisciplinary agreed guideline on management of patients with peroneal tendon pathologies.
Using the Nominal Group Technique, a panel comprised of sixteen specialists spanning nine countries was convened by the ESSKA-AFAS board. In preparation for the meeting, relevant questions were identified and supported by a systematic literature search. During the meeting, the panel members gave presentations on each question, and the evidence supporting each subject was then vetted by open discussion. Statements were thereafter adjusted on the basis of the discussion and voted upon to determine consensus using a 0-10 range Likert scale. Agreement was confirmed when a mean score of at least 7.5 was reached.
This ESSKA-AFAS consensus statement on the optimal management of peroneal tendon pathologies is the result of international and multidisciplinary agreement combined with a systematic review of the literature.
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摘要:
腓骨肌腱损伤是活跃人群中踝关节外侧症状的重要原因。准确的诊断和及时的治疗对于最大程度地减少与慢性腓骨肌腱病相关的长期后遗症的风险很重要。尽管已经发表了一些关于诊断策略和治疗结果的研究,对于腓骨肌腱病变的最佳治疗尚无共识。
本ESSKA-AFAS共识声明的目的是对腓骨肌腱病变患者的管理进行国际和多学科的商定指南。
使用标称成组技术,ESSKA-AFAS董事会召集了一个由来自9个国家的16名专家组成的小组。为会议做准备,相关问题得到了系统的文献检索和支持。会议期间,小组成员就每个问题进行了介绍,然后通过公开讨论审查支持每个主题的证据。此后,在讨论的基础上对声明进行了调整,并使用0-10范围的李克特量表进行了投票,以确定共识。当达到至少7.5的平均分数时,确认了协议。
ESSKA-AFAS关于腓骨肌腱病变的最佳管理的共识声明是国际和多学科共识的结果,并结合了文献的系统回顾。
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