<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032018000400339</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Entesopatías crónicas del calcáneo]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic calcaneus&#8217; enthesopathies]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Gasca]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña Reyes]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano Aguilar]]></surname>
<given-names><![CDATA[Gregorio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General León  ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles León Departamento de Imagenología ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles León División de Medicina ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guanajuato Facultad de Medicina de León ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>339</fpage>
<lpage>342</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032018000400339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032018000400339&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032018000400339&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Las entesopatías son muy frecuentes, los conceptos de entesis y de entesopatía se han modificado sustancialmente en la última década.  Caso clínico:  Mujer de 79 años con dolor de ocho meses de evolución en ambos talones, tanto a nivel plantar como en inserción distal del tendón de Aquiles, que ha llegado a ser paulatinamente incapacitante para la ambulación de más de 50 metros. A la exploración, prominencia en cara posterior de ambos talones, engrosamiento del tendón de Aquiles doloroso al estiramiento, además de dolor en tuberosidad interna de calcáneos en la inserción de la fascia plantar. Con valoración de funcionalidad en la escala de VISA-A de 28. Las radiografías laterales confirman deformidad de Haglund bilateral y osificación de la inserción de tendón de Aquiles, así como en sitios de inserción proximal del flexor corto de los dedos y de la fascia plantar. Se le prescriben medidas conservadoras, anotando que de no mejorar sintomatología, la paciente es candidata a cirugía.  Conclusiones:  La mayoría de las entesopatías localizadas en talón se resuelven de manera conservadora; sin embargo, cuando éstas son crónicas, la cirugía brinda resultados satisfactorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  Enthesopathies are very frequent, the concepts of entesis, and enthesopathy have changed substantially in the last decade.  Clinical case:  A 79-year-old female with pain of 8 months of evolution in both heels, either at the plantar level as in distal Achilles tendon insertion, which has gradually become incapacitating for the ambulation of more than 50 meters. At the exploration: prominence on the posterior face of both heels, Achilles tendon thickening with aching upon stretching, in addition to pain in internal tuberosity of calcaneus at the insertion of plantar fascia. With functional assessment on the AVIS-A scale of 28. Lateral radiographs confirmed bilateral Haglund deformity and ossification of the Achilles tendon insertion, as well as at sites of proximal insertion of the flexor digitorum profundus and the plantar fascia. It were prescribed conservative measures, noting that if there is no improvement in symptoms, the patient is a candidate for surgery.  Conclusions:  Most of the enthesopathies located in heel resolve with conservatively, however, when they are chronic, surgery provides satisfactory results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Entesis]]></kwd>
<kwd lng="es"><![CDATA[entesopatía]]></kwd>
<kwd lng="es"><![CDATA[deformidad de Haglund]]></kwd>
<kwd lng="en"><![CDATA[Enthesis]]></kwd>
<kwd lng="en"><![CDATA[enthesopathy]]></kwd>
<kwd lng="en"><![CDATA[Haglund&#8217;s deformity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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