1,924 results match your criteria Achilles Tendon Injuries and Tendonitis


The Vienna morphological Achilles tendon score-VIMATS : Description, reproducibility and initial clinical results.

Wien Klin Wochenschr 2021 Jun 3;133(11-12):560-567. Epub 2021 Jun 3.

High Field MR Centre, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.

Objective: The purpose was to introduce the Vienna morphological Achilles tendon score (VIMATS), to evaluate its reproducibility and to assess its clinical application.

Methods: In 38 patients a total number of 40 painful ATs and 20 volunteers were examined on a 3T magnetic resonance imaging (MRI) scanner using a standard MRI protocol. In 20 patients clinical scoring according to the Achilles tendon rupture score was available. Read More

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LOAD-intensity and time-under-tension of exercises for men who have Achilles tendinopathy (the LOADIT trial): a randomised feasibility trial.

BMC Sports Sci Med Rehabil 2021 May 25;13(1):57. Epub 2021 May 25.

Physiotherapy Department, School of Primary and Allied Health Care, Monash University, Frankston, Melbourne, Victoria, 3199, Australia.

Background: One potential reason for disparate outcomes of exercise for Achilles tendinopathy is poor knowledge about whether exercise parameters (i.e. different exercise doses) influence outcome. Read More

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Mitochondrial Transplantation Modulates Inflammation and Apoptosis, Alleviating Tendinopathy Both In Vivo and In Vitro.

Antioxidants (Basel) 2021 Apr 28;10(5). Epub 2021 Apr 28.

Department of Biotechnology, CHA University, Seongnam 13488, Korea.

Tendinopathy is a common musculoskeletal condition causing pain and dysfunction. Conventional treatment and surgical procedures for tendinopathy are insufficient; accordingly, recent research has focused on tendon-healing regenerative approaches. Tendon injuries usually occur in the hypoxic critical zone, characterized by increased oxidative stress and mitochondrial dysfunction; thus, exogenous intact mitochondria may be therapeutic. Read More

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Magnitude, Frequency, and Accumulation: Workload Among Injured and Uninjured Youth Basketball Players.

Front Sports Act Living 2021 6;3:607205. Epub 2021 Apr 6.

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Overuse injuries are common in basketball. Wearable technology enables the workload to be monitored in sport settings. However, workload-injury models lack a biological basis both in the metrics recorded and how workload is accumulated. Read More

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The effect of speed on Achilles tendon forces and patellofemoral joint stresses in high-performing endurance runners.

Scand J Med Sci Sports 2021 Apr 16. Epub 2021 Apr 16.

Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK.

Achilles tendinopathy and patellofemoral pain are common running injuries associated with increased Achilles tendon (AT) forces and patellofemoral joint (PFJ) stresses. This study examined AT forces and PFJ stresses at different running speeds in high-performing endurance runners. Twenty runners ran overground at four running speeds (3. Read More

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An equine tendon model for studying intra-tendinous shear in tendons that have more than one muscle contribution.

Acta Biomater 2021 06 6;127:205-212. Epub 2021 Apr 6.

Research Department of Orthopaedics and Musculoskeletal Science, University College London, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore/London HA7 4LP/N19 5UN, United Kingdom. Electronic address:

Human Achilles tendon is composed of three smaller sub-tendons and exhibits non-uniform internal displacements, which decline with age and after injury, suggesting a potential role in the development of tendinopathies. Studying internal sliding behaviour is therefore important but difficult in human Achilles tendon. Here we propose the equine deep digital flexor tendon (DDFT) and its accessory ligament (AL) as a model to understand the sliding mechanism. Read More

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Surgical treatment for insertional Achilles tendinopathy and retrocalcaneal bursitis: more than 1 year of follow-up.

J Int Med Res 2021 Mar;49(3):300060521992959

Centre for Joint Surgery, Southwest Hospital, 12525Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To analyse the imaging changes in bone marrow oedema of the calcaneal prominence, retrocalcaneal bursa and degenerative Achilles tendon after the surgical treatment of insertional Achilles tendinopathy (IAT).

Methods: This retrospective study analysed patients with IAT and retrocalcaneal bursitis that were diagnosed based on their symptoms and radiographic and magnetic resonance imaging (MRI) examinations. For patients that had received 3 months of conservative treatment but still presented with symptoms, arthroscopic debridement of the retrocalcaneal bursa and resection of calcaneal prominence were undertaken. Read More

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Low-Intensity Pulsed Ultrasound Augments Tendon, Ligament, and Bone-Soft Tissue Healing in Preclinical Animal Models: A Systematic Review.

Arthroscopy 2021 Feb 20. Epub 2021 Feb 20.

Department of Orthopaedic Surgery, University of California Irvine, Orange, California, U.S.A.. Electronic address:

Purpose: To appraise the available animal and human studies investigating low-intensity pulsed ultrasound stimulation (LIPUS) on tendon, ligament, and bone-soft tissue (B-ST) junction healing.

Methods: A systematic review of PUBMED, EMBASE, and the Cochrane Library was performed for animal and human studies investigating the effects of LIPUS on tendon, ligament, and B-ST junction healing. The systematic search was performed using the key term "low intensity pulsed ultrasound" and any of the following: "tendon," "ligament," "tendon-bone," and "bone-tendon. Read More

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February 2021

A novel murine muscle loading model to investigate Achilles musculotendinous adaptation.

J Appl Physiol (1985) 2021 Apr 11;130(4):1043-1051. Epub 2021 Feb 11.

Department of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.

Achilles tendinopathy is a debilitating condition affecting the entire spectrum of society and a condition that increases the risk of tendon rupture. Effective therapies remain elusive, as anti-inflammatory drugs and surgical interventions show poor long-term outcomes. Eccentric loading of the Achilles muscle-tendon unit is an effective physical therapy for treatment of symptomatic human tendinopathy. Read More

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Immediate and long-term effects of mechanical loading on Achilles tendon volume: A systematic review and meta-analysis.

J Biomech 2021 03 1;118:110289. Epub 2021 Feb 1.

Department of Physiotherapy, Faculty of Medicine, Nursing and Health Science, Monash University, Frankston, Vic 3199, Melbourne, Australia. Electronic address:

The Achilles tendon (AT) may experience changes in dimensions related to fluid flow under load. The extent to which fluid flow involves redistribution within or flow out of the tendon is not known and could be determined by investigating volume changes. This study aimed to synthesize data on immediate and long-term effects of loading on tendon volume among people with a healthy AT and midportion Achilles tendinopathy (MAT). Read More

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Telehealth sounds a bit challenging, but it has potential: participant and physiotherapist experiences of gym-based exercise intervention for Achilles tendinopathy monitored via telehealth.

BMC Musculoskelet Disord 2021 Feb 4;22(1):138. Epub 2021 Feb 4.

Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.

Background: Although telehealth is becoming more popular for delivery of care for individuals with musculoskeletal pain, to our knowledge telehealth has not been used to manage Achilles tendinopathy. This research aimed to explore the experience of participants and physiotherapists with gym-based exercise interventions for Achilles tendinopathy monitored via videoconference.

Methods: A qualitative, interpretive description design was performed using semi-structured interviews (8 participants) and a focus group (7 physiotherapists). Read More

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February 2021

Video-based biomechanical analysis of an unexpected Achilles tendon rupture in an Olympic sprinter.

J Biomech 2021 03 15;117:110246. Epub 2021 Jan 15.

Applied Neuromechanics Research Group, Universidade Federal do Pampa, Uruguaiana, RS, Brazil. Electronic address:

We used image-processing techniques to determine the moment (i.e., image frame) of the Achilles tendon (AT) rupture in an Olympic sprinter. Read More

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Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review.

BMJ Open 2020 11 19;10(11):e041433. Epub 2020 Nov 19.

Department of Physiotherapy, University of Málaga, Malaga, Spain

Objective: The objective of this study is to summarise and analyse the current literature about what progression criteria are applied in loading exercise programmes in lower limb tendinopathies and their evidence and effectiveness.

Design: Systematic review.

Methods: PubMed, Embase, Scopus and PED were searched from inception to 24 September 2020. Read More

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November 2020

Mid-term results of open debridement and reattachment surgery for insertional Achilles tendinopathy: A retrospective clinical study.

Acta Orthop Traumatol Turc 2020 Nov;54(6):567-571

Department of Foot-Ankle Surgery, Nişantaşı Orthopaedics Center, İstanbul, Turkey.

Objective: The aim of this study was to determine the effects of age and body mass index (BMI) on the functional outcomes, satisfaction rates, and recovery time after open debridement and reattachment surgery in non-athletic patients with insertional Achilles tendinopathy (IAT).

Methods: In this retrospective study, 33 non-athletic patients (34 ankles) in whom open debridement and reattachment surgery was performed for IAT from 2006 to 2016 were included. Change in pain intensity was assessed using a Visual Analogue Scale (VAS) preoperatively and at the final follow-up. Read More

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November 2020

Association between anterior talofibular ligament injury and ankle tendon, ligament, and joint conditions revealed by magnetic resonance imaging.

Quant Imaging Med Surg 2021 Jan;11(1):84-94

Facultad de Enfermería, Fisioterapia y Podología. Universidad Complutense de Madrid, Spain.

Background: The lateral ankle ligament complex is the most frequently injured ligament secondary to strong ankle inversion movement during lateral ankle sprains (LAS). Among these injuries, anterior talofibular ligament (ATFL) injury is the most frequent condition (present in 66-85% of such injuries). The purpose of this research was to use magnetic resonance imaging (MRI) to determine the association between ankle tendon, ligament, and joint conditions and ATFL injuries. Read More

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January 2021

Monitoring Muscle-Tendon Adaptation Over Several Years of Athletic Training and Competition in Elite Track and Field Jumpers.

Front Physiol 2020 16;11:607544. Epub 2020 Dec 16.

Sport and Exercise Science Research Centre, School of Applied Sciences, London South Bank University, London, United Kingdom.

Differences in muscle and tendon responsiveness to mechanical stimuli and time courses of adaptive changes may disrupt the interaction of the musculotendinous unit (MTU), increasing the risk for overuse injuries. We monitored training-induced alterations in muscle and tendon biomechanical properties in elite jumpers over 4 years of athletic training to detect potential non-synchronized adaptations within the triceps surae MTU. A combined cross-sectional and longitudinal investigation over 4 years was conducted by analyzing triceps surae MTU mechanical properties in both legs via dynamometry and ultrasonography in 67 elite track and field jumpers and 24 age-matched controls. Read More

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December 2020

Achilles Tendon Lesions - Part 1: Tendinopathies.

Rev Bras Ortop (Sao Paulo) 2020 Dec 29;55(6):657-664. Epub 2020 Apr 29.

Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.

Calcaneal tendon injuries are extremely common in the general population and in orthopedics routine care. Its increasing incidence, which is motivated by an aging population, improved access to the health care system, increased prescription of continuous-use medication, erratic participation in sports and other factors, has had a direct impact on society. Consolidated treatment options for tendinopathies lack quality scientific support for many modalities. Read More

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December 2020

Participant characteristics are poorly reported in exercise trials in tendinopathy: A systematic review.

Phys Ther Sport 2021 Mar 16;48:43-53. Epub 2020 Dec 16.

School of Allied Health, University of Limerick, Limerick, Ireland; Ageing Research Centre, University of Limerick, Limerick, Ireland.

Objective: To evaluate the reporting of eligibility criteria and baseline participant characteristics in randomised controlled trials investigating the effects of exercise interventions in tendinopathy.

Methods: Randomised controlled trials investigating the effects of exercise therapy compared to a non-exercising intervention in upper and lower limb tendinopathy were included. Data extraction was categorised into the following domains: participant demographics, tendinopathy descriptors, general health, participant recruitment and eligibility criteria. Read More

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Factors associated with outcome following exercise interventions for Achilles tendinopathy: A systematic review.

Physiother Res Int 2021 Apr 22;26(2):e1889. Epub 2020 Dec 22.

Sports and Exercise Medicine, Queen Mary, University of London, London, UK.

Objective: This systematic review aimed to synthesize current evidence on contributing factors influencing outcome following exercise management for Achilles tendinopathy (AT).

Data Sources: Databases (PubMed, Embase, and Cochrane Library) were searched from inception to February 2020.

Study Selection: Studies investigating factors (e. Read More

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[Research progress in Achilles tendinopathy].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Dec;34(12):1619-1623

Department of Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To explore the classification, diagnosis, and clinical treatment of Achilles tendinopathy.

Methods: The literature about Achilles tendinopathy at home and abroad was reviewed. The research results of classification and terms, imaging diagnosis, and clinical treatment of Achilles tendinopathy were summarized. Read More

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December 2020

Effectiveness of a high volume injection as treatment for chronic Achilles tendinopathy: randomised controlled trial.

BMJ 2020 09 9;370:m3027. Epub 2020 Sep 9.

Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, Netherlands

Objective: To study whether a high volume injection without corticosteroids improves clinical outcome in addition to usual care for adults with chronic midportion Achilles tendinopathy.

Design: Patient and assessor blinded, placebo controlled randomised clinical trial.

Setting: Sports medicine department of a large district general hospital, the Netherlands. Read More

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September 2020

Efficacy of Extracorporeal Shock Wave Therapy for Achilles Tendinopathy: A Meta-analysis.

Orthop J Sports Med 2020 Feb 27;8(2):2325967120903430. Epub 2020 Feb 27.

Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Sichuan, China.

Background: Achilles tendinopathy is a frequent sports injury, and extracorporeal shock wave therapy (ESWT) has been proposed as a treatment.

Purpose: To compare outcomes between ESWT and other nonsurgical intervention (including sham shock wave therapy) in Achilles tendinopathy patients.

Study Design: Systematic review; Level of evidence, 2. Read More

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February 2020

Utility of Percutaneous Ultrasonic Tenotomy for Tendinopathies: A Systematic Review.

Sports Health 2021 May-Jun;13(3):258-264. Epub 2020 Nov 30.

Sports Medicine Research Institute, Department of Orthopaedics, The Ohio State University, Columbus, Ohio.

Context: Chronic tendinopathy is a challenging problem that can lead to significant disability and limitation in not only athletics but also activities of daily living. While there are many treatment techniques described for this overuse injury, no single modality has been proven superior to all others. With recent advances in medical technology, percutaneous ultrasonic tenotomy (PUT) for tendinosis has gained traction with promising results. Read More

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Achilles tendon single bout and season long adaptations during early and late collegiate cross-country season.

Phys Ther Sport 2021 Jan 19;47:114-119. Epub 2020 Nov 19.

Exercise Sciences Department, Brigham Young University, 1000 N University Ave, Provo, UT, 84604, USA. Electronic address:

Aims: To examine single bout and season long Achilles tendon cross-sectional area (CSA) changes before and after running during the early and late cross-country season.

Design: OBSERVATIONAL: repeated measures design study.

Setting: Controlled laboratory setting. Read More

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January 2021

Achilles tendon enthesitis evaluated by MRI assessments in patients with axial spondyloarthritis and psoriatic arthritis: a report of the methodology of the ACHILLES trial.

BMC Musculoskelet Disord 2020 Nov 21;21(1):767. Epub 2020 Nov 21.

CIRI/Rheumatology and Fraunhofer TMP, Goethe-University, Frankfurt, Germany.

Background: The currently available scoring methods for enthesitis are often measures of pain but not of inflammation at entheseal sites. The Outcome Measures in Rheumatology Clinical Trials (OMERACT) psoriatic arthritis (PsA) magnetic resonance imaging (MRI) scoring system (PsAMRIS) assesses inflammation and damage in PsA and was particularly developed for the hands. The ACHILLES trial used clinical measures for heel enthesitis in combination with MRI scoring based on PsAMRIS. Read More

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November 2020

Sustained Exposure of Substance P Causes Tendinopathy.

Int J Mol Sci 2020 Nov 16;21(22). Epub 2020 Nov 16.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seong-nam 13496, Korea.

Recently, neuromediators such as substance P (SP) have been found to be important factors in tendon homeostasis. Some studies have found SP to be the cause of inflammation and tendinopathy, whereas others have determined it to be a critical component of tendon healing. As demonstrated by these conflicting findings, the effects of SP on tendinopathy remain unclear. Read More

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November 2020

Self-reported pain with single leg heel raise or single leg hop offer distinct information as measures of severity in men with midportion and insertional Achilles tendinopathy: An observational cross-sectional study.

Phys Ther Sport 2021 Jan 23;47:23-31. Epub 2020 Oct 23.

Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Victoria, Australia; Complete Sports Care, Hawthorn, Victoria, Australia. Electronic address:

Objectives: To investigate if self-reported pain with single leg heel raise (SLHR) or single leg hop (SLH) are concurrently valid to assess midportion (MPAT) or insertional Achilles tendinopathy (IAT) symptom severity, compared to the VISA-A. Additionally, if SLHR or SLH pain accounts for VISA-A variability, and if they are associated with psychological factors.

Participants: 60 men with MPAT, 26 men with IAT. Read More

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January 2021

The Achilles tendon: Management of acute and chronic conditions.

Authors:
Amy Touzell

Aust J Gen Pract 2020 11;49(11):715-719

BMed, BMedSci (Hons), MPH (Dist), GradDipSurgAnat, FRACS (Orth), Senior Adjunct Lecturer, Peninsula Clinical School, Monash University, Vic; Visiting Medical Officer, Peninsula Health, Vic; Orthopaedic Surgeon, Holmesglen Private Hospital, Cabrini Private Hospital, Frankston Private Hospital, Vic.

Background: The prevalence of acute and chronic conditions of the Achilles tendon is increasing among an ageing, active population. These conditions are a common cause of presentation to general practitioners and allied health practitioners. Achilles tendon injuries have a bimodal demographical presentation, with acute injuries commonly occurring in younger people and chronic conditions presenting in patients who are elderly. Read More

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November 2020

The Utility of SPECT/CT in Diagnosing Haglund Syndrome With Bone Scintigraphy.

Clin Nucl Med 2021 Jan;46(1):45-46

Haglund syndrome-the combination of Haglund's deformity, retrocalcaneal bursitis, and achilles tendinopathy-is a common cause of hind foot pain in adults; however, diagnosis on planar scintigraphy can be challenging. We present a case of Haglund syndrome and show the key role that SPECT/CT can play in its diagnosis. Read More

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January 2021

Objective Assessment of Regional Stiffness in Achilles Tendon in Different Ankle Joint Positions Using the MyotonPRO.

Med Sci Monit 2020 Oct 19;26:e926407. Epub 2020 Oct 19.

Rehabilitation Therapy Center, Luoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province, Luoyang, Henan, China (mainland).

BACKGROUND Achilles tendinopathy commonly occurs in specific regions of the tendon, and Achilles tendon stiffness can be related to local pathological changes in the tendon. The MyotonPRO is a new handheld device that conveniently assesses stiffness of muscles and tendons. This study aimed to 1) evaluate the intra- and inter-rater reliability of stiffness measurements of the Achilles tendon at different ankle positions, 2) investigate the modulation of stiffness at different ankle joint angles, and 3) examine the differences between 2 regions of Achilles tendon stiffness. Read More

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October 2020