Achilles tendinopathy

Maffulli, Nicola; Longo, Umile Giuseppe; Kadakia, Anish R.; Spiezia, Filippo

doi:10.1016/j.fas.2019.03.009

Cited by 107 publications

(109 citation statements)

References 59 publications

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“…The VISA-A score, which is used to assess Achilles tendon disorders and their functional impact, is easy to apply clinically and provides a reliable index of the severity of tendinopathy (16,27,28) . Due to its brevity and performance, the SF-12 score, a general assessment of quality of life related to physical and mental health, is widely used in clinical trials and to assess routine results (29,30) .…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that the initial treatment for insertional tendinopathy should be conservative (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . Surgery should be considered only when conservative treatment (a maximum of six months) has failed or in cases of persistent pain and limitations in daily and sports activities (1,14,16) . Two of the surgical techniques cited in the literature for tendinopathy are single-row repair with two anchors (17) and double-row repair with four anchors (18) .…”

Section: Introductionmentioning

confidence: 99%

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A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

Maciel¹,

Castilho

Baumfeld

et al. 2021

J Foot Ankle

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Objective: This retrospective study compared the clinical and functional results of single- and double-row surgical techniques for insertional Achilles tendinopathy in the postoperative period. Methods: In this case series, 29 patients who underwent surgery with one of the two techniques were followed up for one year postoperatively. Data were collected from medical records, imaging exams, and visual analog scale (VAS), Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire, 12-item Short Form Health Survey (SF-12), and Foot and Ankle Ability Measure (FAAM) scores. Results: The following mean values (5% significance level) were found for single- and double-row techniques, respectively: postoperative VAS (2.9/2.2), FAAM-ADL (71.9/74.4), FAAM-Sports (28.3/29.8), SF-12 physical component (45.2/47.0), SF-12 mental component (44.9/48.2), and VISA-A (72.1/75.9). The complication rate did not differ significantly between the techniques. Conclusion: No significant differences were found in any of the scores between the two surgical techniques. Level of Evidence III; Therapeutic Studies, Comparative Retrospective Study.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

Maciel¹,

Castilho

Baumfeld

et al. 2021

J Foot Ankle

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“…Both protocol used in our comparative study was followed by 15 min of eccentric ankle exercises, and patients were advised to repeat it three times per week as it is an effective documented physical intervention for Achilles tendinopathy [52] and it has been associated with clinical benefit in improving pain and function for patients with tendinopathy [54].…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal shockwave therapy versus musculoskeletal mesotherapy for Achilles tendinopathy in athlete

El-Mallah

Elattar

2020

Egypt Rheumatol Rehabil

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Background Achilles tendinopathy (AT) is considered the commonest tendon pathology, occurring mainly in athletes. Different conservative treatment options have been introduced but with short-term effects; however, extracorporeal shockwave therapy (ESWT) and mesotherapy (MT) injections were claimed to provide longer effects and could be used in cases failure of response to conservative treatments. The objective of our prospective 12-week study was to compare the effect of ESWT and MT on chronic Achilles tendinopathy in athletes by both clinical and ultrasonographical assessment. Results Forty patients with chronic AT diagnosed clinically and with high-resolution ultrasound (US) randomly allocated in two groups first received weekly ESWT session, and the other group underwent weekly MT sessions for 4 consecutive weeks. Both groups improved during the treatment and follow-up period. The mean visual analogue score (VAS) decreased in both the ESWT group and the MT group. Mean American Orthopedic Foot and Ankle Society (AOFAS) hindfoot score and VAS scores were not significantly different between ESWT and MT groups at the 4th and the 12th week of follow-up. However, US assessment significantly improved after 12 weeks in the ESWT group (as regards tendon thickness, calcifications, and Doppler signal), and for the mesotherapy group, there was the only improvement of tendon thickness. Conclusion ESWT showed improvement of pain and inflammation and calcifications of AT than MT injections, which was documented by US improved findings at week 12 follow up.

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“…The diagnosis of noninsertional Achilles tendinopathy was made by clinical examination, ultrasound, and magnetic resonance imagining (MRI). 16 We specifically asked for STIR sequences taken every 2 mm to ensure the characterization of the pathology in 3 planes. We looked for images within the tendon corresponding to separation and disruption of collagen fibers as the tendinopathy progressed.…”

Section: Methodsmentioning

confidence: 99%

Endoscopic Flexor Hallucis Longus Transfer for Achilles Noninsertional Tendinopathy: Description of Surgical Technique and Functional Outcomes

Winson

Campo

et al. 2020

Foot & Ankle Specialist

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Background. The transfer of the flexor hallucis longus (FHL) tendon is an established treatment for replacing a dysfunctional Achilles tendon. Objectives. (1) Describe a new technique for endoscopic FHL transfer for noninsertional Achilles tendinopathy and (2) describe the functional outcomes and complications after endoscopic and open FHL transfer. Materials and Method. Retrospective study of patients who underwent open or endoscopic FHL transfer between 2014 and 2016. The American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot scale was used preoperatively and postoperatively to measure the functional results. Results. We included 18 endoscopic FHL transfers and 24 open FHL transfers. The mean age of endoscopic and open procedures was 47.5 years (range 25-77 years) and 61.2 years (range 43-72 years), respectively. An improvement on the average AOFAS of 52.8% (31.9 points) was observed in the endoscopy group during the follow-up from the baseline. The mean improvement in AOFAS score for the open group was 41.4% (24.5 points). Four and 7 cases reported complications in the endoscopy and open FHL transfer groups, respectively. Conclusion. While both procedures were effective in treating noninsertional Achilles tendinopathy, the described arthroscopic treatment led to a greater improvement in the AOFAS score and is slightly less prone to lasting complications. Level of Evidence: Level IV: Case series

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Achilles tendinopathy

Cited by 107 publications

References 59 publications

A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

A comparative study of single-vs. double-row technique in surgical treatment of insertional Achilles tendinopathy

Extracorporeal shockwave therapy versus musculoskeletal mesotherapy for Achilles tendinopathy in athlete

Endoscopic Flexor Hallucis Longus Transfer for Achilles Noninsertional Tendinopathy: Description of Surgical Technique and Functional Outcomes

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