Article
Orthopedics
Hubert Hoerterer, Sonja Oppelt, Wolfgang Boecker, Oliver Gottschalk, Norbert Harrasser, Markus Walther, Hans Polzer, Sebastian Felix Baumbach
Summary: The study aimed to evaluate patient-reported outcome measures (PROMs) in patients with insertional Achilles tendinopathy (IAT) treated surgically by debridement of all pathologies through a midline-incision trans-achillary approach (MITA). The results showed overall good postoperative PROMs after four years, but up to 47% of patients had residual symptoms. The only parameter negatively affecting PROMs was a postoperative shoe conflict.
FOOT & ANKLE INTERNATIONAL
(2021)
Article
Hospitality, Leisure, Sport & Tourism
Hajo Thermann, Ralph Fischer, Nikolaos Gougoulias, Lucio Cipollaro, Nicola Maffulli
Summary: Surgery may be necessary when conservative treatment does not improve symptoms in patients with non-insertional Achilles tendinopathy. This study found that endoscopic debridement of the Achilles tendon improved clinical outcomes, and the addition of PRP did not provide any additional benefits. MRI parameters were not correlated with clinical outcomes.
JOURNAL OF SPORT AND HEALTH SCIENCE
(2023)
Article
Orthopedics
K. T. M. Opdam, R. Zwiers, J. I. Wiegerinck, C. N. van Dijk
Summary: The majority of orthopedic surgeons responded according to the latest proposals in the survey, and there has been an increasing trend of using terminology based on anatomic location, symptoms, clinical findings and histopathology from 2000 to 2016. The revised terminology is widely used in both daily practice and literature, but the use of Haglund eponyms remains common in Achilles tendon-related terminology.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)
Article
Orthopedics
Fabian Greiner, Hans-Joerg Trnka, Michel Chraim, Elena Neunteufel, Peter Bock
Summary: The study evaluated the medium-term clinical and radiological outcomes of patients who underwent a surgical therapy for insertional Achilles tendinopathy via a longitudinal tendon-splitting approach. It showed that surgery resulted in good outcomes for patients after failure of initial conservative therapy, with recurrent calcification being common but not associated with inferior outcomes.
FOOT & ANKLE INTERNATIONAL
(2021)
Article
Orthopedics
Hubert Hoerterer, Sonja Oppelt, Norbert Harrasser, Oliver Gottschalk, Wolfgang Boecker, Hans Polzer, Markus Walther, Sebastian Felix Baumbach
Summary: This study aimed to assess the recurrence rate of insertional Achilles tendinopathy (IAT) after primary surgery. The authors reanalyzed their previous cohort study and found that 14% of the included patients experienced IAT recurrence after an average of 50 months. No predictive factors for IAT recurrence were identified.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Scott K. Crawford, Darryl Thelen, Janice M. Yakey, Bryan C. Heiderscheit, John J. Wilson, Kenneth S. Lee
Summary: In patients with Achilles tendinopathy, traditional sonographic measures showed increased tendon thickness, hyperemia, and hypoechogenicity in the symptomatic tendon compared to the contralateral side. However, lower shear wave speed (SWS) was observed only in the free tendon, indicating localized alterations in tendon elasticity associated with Achilles tendinopathy.
EUROPEAN RADIOLOGY
(2023)
Article
Medicine, General & Internal
Du-Hwan Kim, Jae-Hyeong Choi, Chul-Hyun Park, Hee-Jin Park, Kyung-Jae Yoon, Yong-Taek Lee
Summary: There is no consensus regarding the diagnostic role or cutoff value of Achilles tendon thickness on ultrasonography for insertional Achilles tendinopathy. This study aimed to evaluate the diagnostic utility of ultrasonography in measuring Achilles tendon thickness and echogenicity for insertional Achilles tendinopathy, comparing the results with plantar fasciitis.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Chemistry, Multidisciplinary
Luka Krizaj, Ziga Kozinc, Nejc Sarabon
Summary: This article reviews the treatment methods for two common types of Achilles tendinopathy (AT). For midportion AT, eccentric exercise, isotonic exercise, and acupuncture showed the best effects. For insertional AT, extracorporeal shockwave therapy and eccentric exercise had the best outcomes. Combining different treatment methods can further improve pain, function, and patient satisfaction.
APPLIED SCIENCES-BASEL
(2022)
Article
Sport Sciences
Chia-Han Yeh, James D. Calder, Jarrod Antflick, Anthony M. J. Bull, Angela E. Kedgley
Summary: This study investigated the effects of eccentric loading exercises (ECC) and heavy slow resistance loading (HSR) on Achilles tendon force, finding that external load and maximum dorsiflexion angle are significant predictors of peak AT force. Standing position may be more effective for the same external load due to the rate at which peak dorsiflexion angle affects AT force being twice as high compared to seated position.
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
(2021)
Review
Orthopedics
Xiaosong Zhi, Xinyuan Liu, Jing Han, Yang Xiang, Helin Wu, Shijun Wei, Feng Xu
Summary: This study provides a clear summary of nonoperative treatments for insertional Achilles tendinopathy. The evidence suggests that ESWT or the combination of ESWT with eccentric exercises is favorable for clinical outcomes.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Multidisciplinary Sciences
Pawel Szaro, Khaldun Ghali Gataa
Summary: This comparative study revealed that tendinopathy alters correlations between dimensions of the Achilles tendon, with significant differences in thickness and midportion width. Tendinopathy also showed positive correlations between certain dimensions that were negative in normal tendons, highlighting significant differences in dimensions correlations between healthy and tendinopathic tendons.
SCIENTIFIC REPORTS
(2021)
Article
Orthopedics
Jennifer Purnell, Anne Holly Johnson, Elizabeth A. Cody
Summary: This study investigated the potential role of isolated gastrocnemius recession (GR) in patients with chronic insertional Achilles tendinopathy (IAT). The results showed significant improvements in patient-reported outcomes and low rates of complications and reoperations.
FOOT & ANKLE INTERNATIONAL
(2023)
Review
Multidisciplinary Sciences
Wesley Matthews, Richard Ellis, James Furness, Wayne A. Hing
Summary: There is significant variation in the methodology and outcome measures used to diagnose Achilles tendinopathy. Subjective measures include self-reported location of pain and pain with tendon loading activities, while objective measures consist of tendon palpation and tendon pain during loading activities. The VISA-A questionnaire is commonly used as an outcome measure for monitoring Achilles tendinopathy.
Review
Medicine, General & Internal
Daniel Sullivan, Allison Pabich, Ryan Enslow, Avery Roe, Donald Borchert, Keenan Barr, Bailey Cook, Amanda Brooks
Summary: EOAT often presents with pain and swelling around the Achilles Tendon, is more common in men, and may demonstrate specific molecular signaling patterns. Although there is no standard treatment regimen, conservative management for six months is recommended for patients without complications. Further research is needed to determine the best course of clinical treatment for EOAT injuries.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, Research & Experimental
Changgui Zhang, Jin Cao, Liu Yang, Xiaojun Duan
Summary: Surgical treatment of insertional Achilles tendinopathy (IAT) and retrocalcaneal bursitis effectively alleviated local pain and restored function, as evidenced by improved Visual Analogue Scale (VAS) pain scores and American Orthopedic Foot and Ankle Society (AOFAS)-Ankle and Hindfoot scores. MRI showed significant reduction in bone marrow edema of the calcaneal prominence and retrocalcaneal bursa postoperatively.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)