Surgical Management of Achilles Tendinopathy by Percutaneous Longitudinal Tenotomies
Achilles tendinopathy is common among athletes, particularly those involved in very strenuous and sudden takeoff maneuvers during their sport. This includes participants in racquet sports, track and field, volleyball, and soccer.1 Due to greater participation in recreational and competitive sporting activities, the incidence of Achilles tendinopathy has recently increased (see Case Study, below). However, Achilles tendinopathy does not exclusively affect athletes. Health professionals in both primary and secondary care are increasingly consulted by patients suffering from Achilles tendinopathy. Familiarity with the management options is important to best advise individual patients.
The management of Achilles tendinopathy lacks evidence-based support, and sufferers of the condition are at risk of long-term morbidity with often unpredictable clinical outcomes. 2 A substantial number of working days is lost annually due to Achilles tendinopathy. 3
A 26-year-old male tennis...
KeywordsAchilles Tendon Stab Wound Ankle Dorsiflexion Achilles Tendinopathy Formal Exploration
- 5.Matles AL. 1975; Rupture of the tendo Achilles. Another diagnostic sign. Bull Hosp Joint Dis 36:48–51.Google Scholar
- 6.Teitz CC, Garrett WEJ, Miniaci A,. et al. 1997; Tendon problems in athletic individuals. Instr Course Lectures 46:569–82.Google Scholar
- 8.Binfield PM, Maffulli N. 1997; Surgical management of common tendinopathies of the lower limb. Sports Exerc Injury 3:116–22.Google Scholar
- 11.Gill SS, Gelbke MK, Mattson SL,. et al. 2004; Fluoroscopically guided low-volume peritendinous corticosteroid injection for Achilles tendinopathy. A safety study. J Bone Joint Surg [Am] 86A:802–6.Google Scholar
- 15.Paavola M, Kannus P, Paakkala T,. et al. 2001; Long-term prognosis of patients with Achilles tendinopathy. Am J Sports Med 28:(5)634–42.Google Scholar