Sehnenpathologien im Bereich des Fußes – Inflammation versus Degeneration: wo liegen die Unterschiede?

Zusammenfassung

Die Ursachen für Tendopathien bzw. Tenosynovialitiden sind mannigfaltig. Stoffwechsel und Genaktivität der Bindegewebszellen im Sehnengewebe reagieren sehr empfindlich auf mechanische Beanspruchung und aber auch entzündliche Reize im Hinblick auf die Integrität der extrazellulären Matrix. Hierin unterscheiden sich entzündliche und degenerative Sehnenerkrankungen nicht. Die verbesserten medikamentösen Möglichkeiten einer nachhaltigen Entzündungskontrolle erlaubt es dem Rheumaorthopäden auch häufiger sich an den fusschirurgischen Prinzipien eines Gelenkerhaltes orientieren zu können. Weiterhin erfordert jedoch die mit chronisch degenerativen Prozeßen nicht vergleichbare Entzündungsintensität einen ausreichenden Erfahrungsschatz im peri- und intraoperativen Umganges mit den RA, SpA und PsA Patienten.

Abstract

The causes of tendopathies or tendosynovitis are manifold. The metabolism and gene activity of the connective tissue cells in the tendon tissue react very sensitively to mechanical stress and also to inflammatory stimuli in relation to the extracellular matrix. There is no difference here between inflammatory and degenerative tendon diseases. As sustainable control of inflammation by drug treatment has become easier, the rheumatologist can often attempt to preserve the joint. However, this is only the case if the intensity of inflammation is not comparable with chronic degenerative processes and assumes that the physician has sufficient experience in the peri- and intraoperative handling of RA, SpA and PsA patients.

Schlüsselwörter

Sehnenheilung - Achillessehnendefekt - Tenosynovialitis - Tendinopathie - Enthesitis

Key words

Healing response - tendon healing - achilles tendon rupture - tenosynovitis - enthesitisonline publiziert 2022

Publication History

Article published online:
10 May 2022

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