Chinese Consensus on Insertional Achilles Tendinopathy

Abstract

Background:Insertional Achilles tendinopathy (IAT) is a common finding in the clinic. However, consensus on its mechanism, pathological process, diagnosis, treatment, and rehabilitation is lacking. Thus, the Chinese Society of Sports Medicine organized and invited experts representing the fields of ankle disease and tendinopathy to jointly develop an expert consensus on IAT.Study Design:A consensus statement of the Chinese Society of Sports Medicine.Methods:A total of 34 experts in the field of sports medicine and orthopaedics were invited to participate in the compilation of a consensus statement regarding IAT. Consensus was achieved according to the Delphi method. First, 10 working groups composed of 34 experts were established to compile draft statements about clinical problems related to IAT by reviewing and analyzing the available literature. An expert consensus meeting to discuss drafts was then arranged. Each statement was individually presented and discussed, followed by a secret vote. Consensus was reached when more than 50% of the experts voted in its favor. The strength of the proposed recommendation was classified based on the proportion of favorable votes: consensus, 51% to 74%; strong consensus, 75% to 99%; unanimity, 100%.Results:Of the 10 expert consensus statements on the clinical diagnosis and treatment of IAT, there was strong consensus for 8 statements and unanimity for 2 statements.Conclusion:This expert consensus focused on the concepts, causes, pathological process, clinical diagnosis, and treatment of IAT. Accepted recommendations in these areas which will assist clinicians in carrying out standardized management of related diseases.

Does additional extracorporeal shock wave therapy improve the effect of isolated percutaneous radiofrequency coblation in patients with insertional Achilles tendinopathy? Study protocol for a randomized controlled clinical trial

“…Patients referred to the Department of Sports Medicine, Huashan Hospital, Fudan University with insertional Achilles tendinopathy who had no symptom relief after 3 to 6 months of conservative therapy [ 31 ] other than ESWT are assessed for eligibility. The diagnosis is based on a medical history and clinical examination including persistent pain at the calcaneus tendon insertion region, and ultrasound or MRI results confirm it.…”

The clinical diagnosis of Achilles tendinopathy: a scoping review

“…Two of the included clinical guidelines (Carcia et al, 2010;Martin et al, 2018) discussed midportion Achilles tendinopathy, with one clinical guideline (Thomas et al, 2010) and one consensus statement (Xu et al, 2019) discussing insertional Achilles tendinopathy (Table 4). Clinical measures used to diagnose Achilles tendinopathy was consistent across the clinical guidelines and consensus statement, with location of pain being the main differentiating factor between diagnosing midportion or insertional tendinopathy.…”

“…Combined terminology 7 ( Chazan, 1998;Den Hartog, 2009;Fredericson, 1996;Nichols, 1989;Scott, Huisman & Khan, 2011;Wang et al, 2012) Tendinopathy location Insertional 21 (Aldridge, 2004;Benazzo, Todesca & Ceciliani, 1997;Benito, 2016;Cheng, Zhang & Cai, 2016;Chimenti et al, 2016;Chimenti et al, 2017;Den Hartog, 2009;Irwin, 2010;Maffulli et al, 2019;Mansur et al, 2019;Mansur et al, 2017;McCormack et al, 2015;Stenson et al, 2018;Thomas et al, 2010;Wei et al, 2017;Xu et al, 2019;Zellers et al, 2019;Zhang et al, 2020;…”

Does Additional Extracorporeal Shock Wave Therapy Improve the Effect of Isolated Percutaneous Radiofrequency Coblation in Patients with insertional Achilles Tendinopathy? Study Protocol for a Randomized Controlled Clinical Trial

“…Patients referred to Department of Sports Medicine, Huashan Hospital, Fudan University with insertional Achilles tendinopathy who had no symptom relief after 3 to 6 months of conservative therapy 31 other than ESWT are assessed for eligibility. The diagnosis is based on a medical history and clinical examination including persistent pain at the calcaneus tendon insertion region, and ultrasound or MRI results con rm it.…”