Achilles tendinoscopy and plantaris tendon release and division in the treatment of non-insertional Achilles tendinopathy

Pearce, Christopher J.; Carmichael, James; Calder, James

doi:10.1016/j.fas.2011.04.008

Cited by 67 publications

(71 citation statements)

References 30 publications

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“…More recently, Alfredson65 in the Achilles tendon and Willberg66 in patellar tendon have described a peritendinous operative procedure requiring a rehabilitation period as short as 6 weeks postoperation, enabling this to be a consideration for in-season management. Preliminary long-term results are positive; the removal of plantaris in the Achilles surgery also appears to be effective 67 68. This intervention requires careful consideration; the indication for surgery remains, failing a well-constructed rehabilitation programme.…”

Section: Surgical Interventionmentioning

confidence: 99%

The challenge of managing tendinopathy in competing athletes

Cook

Purdam²

2013

Br J Sports Med

116

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Managing tendinopathy in season is a challenge for all sports medicine practitioners. Many of the strategies employed to treat tendinopathy in a rehabilitation setting are not suitable because of the time taken to recover. Management strategies that control pain and maintain performance are required. These include load management, both reducing aggravating loads and introducing pain-relieving loads, medications and adequate monitoring to detect a deteriorating tendon. Other interventions such as intratendinous injection therapies and other direct tendon modalities can be provocative at worst and without effect at best. Research to improve the understanding of management in athletes in season is compromised by ethical considerations and access to willing participants. It is likely to remain an area where clinical advances guide future treatments.

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Section: Surgical Interventionmentioning

confidence: 99%

The challenge of managing tendinopathy in competing athletes

Cook

Purdam²

2013

Br J Sports Med

116

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“…Pearce et al 10 showed good results by releasing the plantaris tendon endoscopically. In 11 patients who underwent the procedure the mean American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score improved significantly and the Ankle Osteoarthritis Scale (AOS) scores for pain and disability also improved.…”

Section: Discussionmentioning

confidence: 99%

“…These procedures avoid violating the tendon itself and therefore a quicker return to sport may be possible. Minimally invasive procedures such as paratenonectomy and tendinoscopy with plantaris release can achieve good results 10 11…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have reported encouraging results with release of adhesions surrounding the Achilles and sectioning of the plantaris tendon 10 18 19. However, these are small studies and whether this approach provides long-term symptomatic relief of pain without compromising athletic ability in the highest demanding athletic patients has not yet been demonstrated.…”

Section: Introductionmentioning

confidence: 99%

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Plantaris excision in the treatment of non-insertional Achilles tendinopathy in elite athletes

2014

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“…Patients often present with symptoms plus or minus a swelling on the posteromedial side of the tendon and tenderness can usually be elicited with palpation over this bump 17. As seen above, an assessment of gastrocnemius-soleus complex tightness should be made using Silfverkiold’s test.…”

Section: Introductionmentioning

confidence: 99%