Abstract
The achilles tendon is the confluence of the distal gastrocnemius and soleus muscles which inserts on the posterior superior calcaneus. Pathology of the achilles tendon falls in a spectrum of disorders including retrocalcaneal bursitis/insertional achilles tendinopathy, achilles tendinosis/tendonitis, and achilles tendon rupture. Diagnosis relies most heavily on clinical presentation and examination. Although commonly not needed for diagnosis, imaging techniques for evaluation include conventional radiography, ultrasound, and MRI. Nonoperative management strategies are the treatment of choice across the spectrum of achilles pathology. In select scenarios, including a prominent Haglund’s deformity in recalcitrant retrocalcaneal bursitis and achilles tendon rupture, surgical intervention may be indicated and performed with excellent results.
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References
Shalabi A, Kristoffersen-Wilberg M, Svensson L, Aspelin P, Movin T. Eccentric training of the gastrocnemius-soleus complex in chronic Achilles tendinopathy results in decreased tendon volume and intratendinous signal as evaluated by MRI. Am J Sports Med. 2004;32(5):1286–96.
Mafi N, Lorentzon R, Alfredson H. Superior short-term results with eccentric calf muscle training compared to concentric training in a randomized prospective multicenter study on patients with chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc. 2001;9(1):42–7.
Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone Joint Surg Am. 2012;94(23):2136–43.
Nilsson-Helander K, Silbernagel KG, Thomeé R, Faxén E, Olsson N, Eriksson BI, Karlsson J. Acute Achilles tendon rupture: a randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures. Am J Sports Med. 2010;38(11):2186–93.
Willits K, Amendola A, Bryant D, Mohtadi NG, Giffin JR, Fowler P, Kean CO, Kirkley A. Operative versus nonoperative treatment of acute Achilles tendon ruptures: a multicenter randomized trial using accelerated functional rehabilitation. J Bone Joint Surg Am. 2010;92(17):2767–75.
Cetti R, Christensen SE, Ejsted R, Jensen NM, Jorgensen U. Operative versus nonoperative treatment of Achilles tendon rupture. A prospective randomized study and review of the literature. Am J Sports Med. 1993;21(6):791–9.
Möller M, Movin T, Granhed H, Lind K, Faxén E, Karlsson J. Acute rupture of tendon Achillis. A prospective randomised study of comparison between surgical and non-surgical treatment. J Bone Joint Surg Br. 2001;83(6):843–8.
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McNeilan, R.J., Jones, G.L. (2017). Achilles Tendon Pathology. In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_87
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DOI: https://doi.org/10.1007/978-3-319-52567-9_87
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