1,651 results match your criteria Achilles Tendon Injuries and Tendonitis


High-Intensity Resistance Training Does Not Produce Immediate Ultrasonographic Changes in Muscle Tendons.

Orthop J Sports Med 2019 Jan 14;7(1):2325967118821604. Epub 2019 Jan 14.

Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark.

Background: Chronic overload injuries to tendons can be visualized using ultrasonography, with characteristics such as tendon thickening and darkening.

Purpose: To investigate whether these characteristics are evident in the patellar and Achilles tendons immediately after 1 session of high-intensity resistance training.

Study Design: Controlled laboratory study. Read More

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http://dx.doi.org/10.1177/2325967118821604DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350153PMC
January 2019
1 Read

Patellar and Achilles Tendon Stiffness in Elite Soccer Players Assessed Using Myotonometric Measurements.

Sports Health 2019 Jan 2:1941738118820517. Epub 2019 Jan 2.

Clínica MEDS, Santiago, Chile.

Background:: Tendon overuse injuries are an issue in elite footballers (soccer players) and may affect tendon function. Achilles and patellar tendinopathy are the most frequent pathologies. Tendon stiffness, the relationship between the force applied to a tendon and the displacement exerted, may help represent tendon function. Read More

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http://dx.doi.org/10.1177/1941738118820517DOI Listing
January 2019
1 Read

Nanotopographic cues and stiffness control of tendon-derived stem cells from diverse conditions.

Int J Nanomedicine 2018 8;13:7217-7227. Epub 2018 Nov 8.

Department of Physical and Rehabilitation Medicine, Stem Cell and Regenerative Medicine Institute, Samsung Medical Center, Seoul, Republic of Korea,

Background: Tendon-derived stem cells (TDSCs) are key factors associated with regeneration and healing in tendinopathy. The aim of this study was to investigate the effects of mechanical stiffness and topographic signals on the differentiation of TDSCs depending on age and pathological conditions.

Materials And Methods: We compared TDSCs extracted from normal tendon tissues with TDSCs from tendinopathic Achilles tendon tissues of Sprague Dawley rats in vitro and TDSCs cultured on nanotopographic cues and substrate stiffness to determine how to control the TDSCs. Read More

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http://dx.doi.org/10.2147/IJN.S181743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231514PMC
January 2019
5 Reads

Surgery in Tendinopathies.

Sports Med Arthrosc Rev 2018 Dec;26(4):200-202

Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy.

Tendinopathies are challenging. The term "tendinopathy" refers to clinical condition characterized by pain, swelling, and functional limitations of tendons and nearby structures. Tendinopathies give rise to significant morbidity, and, at present, only limited scientifically proven management modalities exist. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000214DOI Listing
December 2018
14 Reads

Current Clinical Recommendations for Use of Platelet-Rich Plasma.

Curr Rev Musculoskelet Med 2018 Dec;11(4):624-634

Department of Orthopedic Surgery, Stanford University, 450 Broadway St, Redwood City, CA, USA.

Purpose Of Review: This review evaluates current clinical literature on the use of platelet-rich plasma (PRP), including leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP), in order to develop evidence-based recommendations for various musculoskeletal indications.

Recent Findings: Abundant high-quality evidence supports the use of LR-PRP injection for lateral epicondylitis and LP-PRP for osteoarthritis of the knee. Moderate high-quality evidence supports the use of LR-PRP injection for patellar tendinopathy and of PRP injection for plantar fasciitis and donor site pain in patellar tendon graft BTB ACL reconstruction. Read More

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http://link.springer.com/10.1007/s12178-018-9527-7
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http://dx.doi.org/10.1007/s12178-018-9527-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220007PMC
December 2018
20 Reads

Chronical treatment with sildenafil causes Achilles tendinopathy in rats.

Life Sci 2018 Nov 26;212:87-92. Epub 2018 Sep 26.

Department of Anatomy, Institute of Biomedical Science, Federal University of Alfenas - UNIFAL-MG, 37130-000 Alfenas, MG, Brazil.

Aims: The primary goal was to assess the effects of chronic sildenafil treatment over the Achilles tendons in rats.

Main Methods: Animals were divided into two groups, control and sildenafil administration (n = 5). After 60 days, the tendons were subject to biochemical and image analysis to compare tendons between the groups: collagen I and decorin content, polarisation microscopy and birefringence analysis, and tissue zymography. Read More

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http://dx.doi.org/10.1016/j.lfs.2018.09.048DOI Listing
November 2018
14 Reads

Normal Ultrasonographic Parameters of the Posterior Tibial, Peroneal, and Achilles Tendons.

Foot Ankle Spec 2018 Sep 28:1938640018800785. Epub 2018 Sep 28.

Palmetto Health Orthopedic Center, Department of Orthopedic Surgery (JBJ, CHU, KAW).

Tendinopathy of the foot and ankle is common and can lead to pain or functional limitations. The most frequently affected tendons in the foot and ankle are the posterior tibial, peroneal, and Achilles. We used ultrasound to determine normal values for these tendons. Read More

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http://dx.doi.org/10.1177/1938640018800785DOI Listing
September 2018
15 Reads

[Surgical Treatment of the Achilles Insertional Tendinopathy Using the Augmentation with the BT Graft from M. Quadriceps Femoris].

Acta Chir Orthop Traumatol Cech 2018 ;85(4):266-270

Ortopedicko-traumatologické oddělení, Nemocnice Znojmo.

PURPOSE OF THE STUDY The aim of the prospective study was to evaluate the effectiveness of the Achilles insertion tendinopathy treatment, focusing on the evaluation of results in patients treated for retrocalcaneal pain, and to review the outcomes following the surgical treatment by means of Achilles tendon reinforcement with the bone-tendon autograft (BT). MATERIAL AND METHODS The group comprised 18 patients, 10 men and 8 women, who were surgically treated with in line with the described surgical protocol. The group was treated at the author s department in the period 2013-2016. Read More

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January 2019
3 Reads

Partial mid-portion Achilles tear resulting in substantial improvement in pain and function in an amateur long-distance runner.

BMJ Case Rep 2018 Sep 19;2018. Epub 2018 Sep 19.

Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

This case presents symptom resolution for a long-distance runner with chronic Achilles tendinopathy (AT), following a partial tear of his Achilles tendon. The patient reported a sudden pain during a morning run, with preserved function. Three hours postinjury, he was reviewed in a musculoskeletal clinic. Read More

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http://dx.doi.org/10.1136/bcr-2018-225823DOI Listing
September 2018
5 Reads

Exercise, orthoses and splinting for treating Achilles tendinopathy: a systematic review with meta-analysis.

Br J Sports Med 2018 Dec 31;52(24):1564-1574. Epub 2018 Aug 31.

Department of Physical Therapy, Congdon School of Health Sciences, High Point University, High Point, North Carolina, USA.

Objectives: To assess the efficacy of exercise, orthoses and splinting on function, pain and quality of life (QoL) for the management of mid-portion and insertional Achilles tendinopathy, and to compare different types, applications and modes of delivery within each intervention category.

Design: Systematic review and meta-analysis.

Data Sources: Medline, CINAHL, Embase, AMED, WHO ICTRP, Web of Science, PEDro and Cochrane Library from inception to October 2017. Read More

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http://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2017-098913
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http://dx.doi.org/10.1136/bjsports-2017-098913DOI Listing
December 2018
15 Reads
5.030 Impact Factor

Treatment of infected Achilles tendinitis and overlying soft tissue defect using an anterolateral thigh free flap in an elderly patient: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e11995

The Research Center for Advanced Image and Information Technology, School of Electronics and Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Introduction: Infected segmental loss of the Achilles tendon with overlying soft tissue and skin defect remains a more complex reconstructive challenge. Here, we present a functional reconstruction of infected Achilles tendinitis with combined soft tissue defects using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata in an elderly patient.

Case Presentation: A 71-year-old male patient was transferred to our department due to soft tissue defect of the left lower leg and infected Achilles tendinitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011995DOI Listing
August 2018
5 Reads

Biomechanical evaluation of two methods of fixation of a flexor hallucis longus tendon graft.

Bone Joint J 2018 09;100-B(9):1175-1181

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

Aims: The traditional transosseus flexor hallucis longus (FHL) tendon transfer for patients with Achilles tendinopathy requires two incisions to harvest a long tendon graft. The use of a bio-tenodesis screw enables a short graft to be used and is less invasive, but lacks supporting evidence about its biomechanical behaviour. We aimed, in this study, to compare the strength of the traditional transosseus tendon-to-tendon fixation with tendon-to-bone fixation using a tenodesis screw, in cyclical loading and ultimate load testing. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100
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http://dx.doi.org/10.1302/0301-620X.100B9.BJJ-2018-0100.R2DOI Listing
September 2018
16 Reads

Quantification of Achilles and patellar tendon structure on imaging does not enhance ability to predict self-reported symptoms beyond grey-scale ultrasound and previous history.

J Sci Med Sport 2019 Feb 27;22(2):145-150. Epub 2018 Jul 27.

La Trobe Sports and Exercise Medicine Research Centre, La Trobe University, Australia; Faculty of Science and Technology, Federation University Australia, Australia.

Background: Tendon pathology on imaging has been associated with an increased risk of developing symptoms. This evidence is based on classifying the tendon as normal or pathological. It is unclear whether the extent of tendon pathology is associated with the development or severity of symptoms. Read More

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http://dx.doi.org/10.1016/j.jsams.2018.07.016DOI Listing
February 2019
3 Reads

Effectiveness and Safety of Shockwave Therapy in Tendinopathies.

Mater Sociomed 2018 Jun;30(2):131-146

Laboratory of Physiology-Pharmacology, Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece.

Introduction: People suffering from tendinopathies exhibit reduced mobility due to the pain caused by the movement of the tendons involved. Recently, shockwave therapy has been used as a treatment option, which is non-invasive, simpler, faster and safer.

Aims: To record the intensity of the pain, the functionality of the upper and lower limbs and quality of life before treatment with shock waves, immediately after the treatment and the 4-week follow-up. Read More

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http://dx.doi.org/10.5455/msm.2018.30.141-146DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029898PMC
June 2018
4 Reads

Isotretinoin induced achilles tendinopathy: Histopathological and biomechanical evaluation on rats.

Acta Orthop Traumatol Turc 2018 Sep 13;52(5):387-391. Epub 2018 Jul 13.

Bağcılar Training and Research Hospital, Department of Orthopedics and Traumatology, İstanbul, Turkey. Electronic address:

Objective: The aim of the present study was to evaluate histopathological and biomechanical effects of isotretinoin on Achilles tendon.

Materials & Methods: Sixteen rats were divided into two groups including the control group (n = 8) and isotretinoin group (n = 8). The control group received 1. Read More

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http://dx.doi.org/10.1016/j.aott.2018.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204476PMC
September 2018
6 Reads

Classification of Tendon Matrix Change Using Ultrasound Imaging: A Systematic Review and Meta-analysis.

Ultrasound Med Biol 2018 10 12;44(10):2059-2080. Epub 2018 Jul 12.

Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond University, Robina, Gold Coast, Queensland, Australia.

Ultrasound imaging (US) is an accurate and reliable method used to diagnose tendinopathy. This systematic review was aimed at identifying common criteria and parameters used to diagnose tendinopathy, the methodological quality of studies and the predictive value of US. Nineteen studies met the inclusion criteria, with the Achilles, quadriceps and patella tendons being investigated. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2018.05.022DOI Listing
October 2018
2 Reads

Do insertional and mid-portion Achilles tendinopathy display different material properties?

Scand J Med Sci Sports 2018 10;28(10):2247-2248

Faculty of Sport Science, University of Nantes, Nantes, France.

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http://dx.doi.org/10.1111/sms.13265DOI Listing
October 2018
2 Reads

Some comments on "Achilles and patellar tendinopathy display opposite changes in elastic properties: A shear wave elastography study".

Scand J Med Sci Sports 2018 10;28(10):2246

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

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http://dx.doi.org/10.1111/sms.13266DOI Listing
October 2018
3 Reads
2.900 Impact Factor

Molecular analysis of enthesopathy in a mouse model of hypophosphatemic rickets.

Development 2018 08 10;145(15). Epub 2018 Aug 10.

Endocrine Unit, Massachusetts General Hospital, Boston, MA 02114, USA

The bone tendon attachment site known as the enthesis comprises a transitional zone between bone and tendon, and plays an important role in enabling movement at this site. X-linked hypophosphatemia (XLH) is characterized by impaired activation of vitamin D, elevated serum FGF23 levels and low serum phosphate levels, which impair bone mineralization. Paradoxically, an important complication of XLH is mineralization of the enthesis (enthesopathy). Read More

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http://dx.doi.org/10.1242/dev.163519DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110149PMC
August 2018
2 Reads

Entheseal involvement in patients with systemic lupus erythematosus: an ultrasound study.

Rheumatology (Oxford) 2018 10;57(10):1822-1829

Department of Clinical and Molecular Sciences, Rheumatology Unit, Carlo Urbani Hospital, Polytechnic University of Marche, Jesi, Ancona, Italy.

Objectives: The main objective of this study is to explore the prevalence and distribution of entheseal US changes in a cohort of SLE patients, taking as controls a group including both PsA patients and healthy subjects. The secondary objective is to investigate the correlation between the US findings and the clinical and serological data in SLE patients.

Methods: Clinical and US assessment of quadriceps, patellar and Achilles tendons, and plantar fascia entheses were performed by independent rheumatologists on 65 patients with SLE, 50 patients with PsA and 50 healthy subjects. Read More

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http://dx.doi.org/10.1093/rheumatology/key189DOI Listing
October 2018
23 Reads
4.475 Impact Factor

Are the Mechanical or Material Properties of the Achilles and Patellar Tendons Altered in Tendinopathy? A Systematic Review with Meta-analysis.

Sports Med 2018 09;48(9):2179-2198

School of Allied Health Sciences, Griffith University, Gold Coast, QLD, Australia.

Background: Changes in the mechanical behaviour of the Achilles and patellar tendons in tendinopathy could affect muscle performance, and have implications for injury prevention and rehabilitation strategies.

Objectives: To determine the effect of clinically diagnosed tendinopathy on the mechanical and material properties of the Achilles tendon (AT) and patellar tendon (PT).

Design: Systematic review with meta-analysis. Read More

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http://dx.doi.org/10.1007/s40279-018-0956-7DOI Listing
September 2018
30 Reads

The Plantaris Muscle Tendon and Its Relationship with the Achilles Tendinopathy.

Biomed Res Int 2018 31;2018:9623579. Epub 2018 May 31.

Department of Normal and Clinical Anatomy, Medical University of Lodz, Poland.

Purpose: Although the plantaris muscle (PM) is vestigial in humans, it has a significant clinical role in procedures such as grafting. However, recent reports suggest its potential involvement in the tendinopathy of the midportion of the Achilles tendon. The aim of the study is therefore to evaluate morphological variation of the PM with regard to its potential conflict with the Achilles tendon. Read More

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http://dx.doi.org/10.1155/2018/9623579DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000875PMC
January 2019
2 Reads

Incidence of Achilles and Patellar Tendinopathy in Adolescent Elite Athletes.

Int J Sports Med 2018 Sep 25;39(9):726-732. Epub 2018 Jun 25.

Outpatient Clinic, Sports Medicine & Sports Orthopaedics, University of Potsdam, Potsdam, Germany.

The study investigated the incidence of Achilles and patellar tendinopathy in adolescent elite athletes and non-athletic controls. Furthermore, predictive and associated factors for tendinopathy development were analyzed. The prospective study consisted of two measurement days (M1/M2) with an interval of 3. Read More

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http://dx.doi.org/10.1055/a-0633-9098DOI Listing
September 2018
3 Reads

Non-uniformity in pre-insertional Achilles tendon is not influenced by changing knee angle during isometric contractions.

Scand J Med Sci Sports 2018 Nov 25;28(11):2322-2329. Epub 2018 Jun 25.

Department of Development & Regeneration, KU Leuven, Leuven, Belgium.

Achilles tendinopathy remains a prevalent condition among recreational and high-level athletes. Mechanical loading has become the gold standard in managing these injuries, but exercises are often generic and prescribed in a "one-size-fits-all" principle. The aim of this study was to evaluate the impact of knee angle changes and different levels of force production on the non-uniform behavior in the Achilles tendon during isometric contractions. Read More

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http://doi.wiley.com/10.1111/sms.13230
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http://dx.doi.org/10.1111/sms.13230DOI Listing
November 2018
7 Reads

[Effect of different intensity treadmill training on repair of micro-injured Achilles tendon in rats].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 May;31(5):574-581

Department of Orthopedics, Orthopedic Center of Chinese PLA, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R.China.

Objective: To explore the effect of different intensity treadmill training on the repair of micro-injured Achilles tendon induced by collagenase in rats.

Methods: Seventy-two 8-week-old male Sprague Dawley rats (weighing, 200-250 g) were selected. After adaptive treadmill training for 1 week, rats were injected with 30 μL type I collagenase solution (10 mg/mL) into both Achilles tendons to make micro-injured Achilles tendon models. Read More

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http://dx.doi.org/10.7507/1002-1892.201611054DOI Listing
May 2017
4 Reads

Microvascular volume in symptomatic Achilles tendons is associated with VISA-A score.

J Sci Med Sport 2018 Dec 15;21(12):1185-1191. Epub 2018 May 15.

Department of Sport Medicine, Australian Institute of Sport, Australia; University of Canberra Research Institute for Sport and Exercise (UCRISE), Australia.

Objectives: The role of neovascularisation in tendinopathy is still poorly understood, potentially due to technical limitations of conventional power Doppler ultrasound. This study aimed to investigate the association between contrast-enhanced ultrasound (CEUS) microvascular volume (MV), Victorian Institute of Sports Assessment-Achilles (VISA-A) scores and intrinsic Achilles tendon tenderness, as well as two different Power Doppler modes.

Design: Cross-sectional study. Read More

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http://dx.doi.org/10.1016/j.jsams.2018.05.013DOI Listing
December 2018
1 Read

Achilles tendon structure differs between competitive distance runners and nonrunners despite no clinical signs or symptoms of midsubstance tendinopathy.

J Appl Physiol (1985) 2018 Aug 17;125(2):453-458. Epub 2018 May 17.

Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania , Philadelphia, Pennsylvania.

Achilles tendinopathy affects many running athletes and often leads to chronic pain and functional deficits. Although changes in tendon structure have been linked with tendinopathy, the effects of distance running on tendon structure are not well understood. Therefore, the purpose of this study was to characterize structural differences in the Achilles tendons in healthy young adults and competitive distance runners using quantitative ultrasound analyses. Read More

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http://dx.doi.org/10.1152/japplphysiol.00012.2018DOI Listing
August 2018
6 Reads

Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis.

Sports Med 2018 08;48(8):1875-1891

La Trobe Sports and Exercise Medicine Research Centre, La Trobe University, Bundoora, VIC, Australia.

Background: Mid-portion Achilles tendinopathy is prevalent within both the athletic and non-athletic populations and loading protocols for Achilles tendinopathy are effective over time, though the rate of symptom change throughout rehabilitation is unknown.

Objective: The objective of this study was to determine the rate of change in pain and function over time in patients while completing a loading protocol for mid-portion Achilles tendinopathy.

Methods: A systematic review and longitudinal meta-analysis was conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Read More

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http://dx.doi.org/10.1007/s40279-018-0932-2DOI Listing
August 2018
3 Reads

Subclinical enthesopathy of extensor digitorum tendon is highly prevalent and associated with clinical and ultrasound alterations of the adjacent fingernails in patients with psoriatic disease.

J Eur Acad Dermatol Venereol 2018 Oct 24;32(10):1728-1736. Epub 2018 May 24.

Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Background: Nail psoriasis disease is associated with an increased probability of psoriatic arthritis, and its clinical signs may have different correlates with the pathogenesis of adjacent bone destruction and have different prognostic value. Recent publications about psoriasis and nail psoriatic disease describe different ultrasonographic findings but the relationship between these ungueal alterations measured by ultrasonography and the presence of enthesopathy of the extensor digitorum has yet to be discovered.

Objective: To describe which ultrasonographic characteristics of nail psoriasis are associated with the presence of subclinical enthesopathy in patients with PsO and asymptomatic PsA. Read More

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http://doi.wiley.com/10.1111/jdv.15035
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http://dx.doi.org/10.1111/jdv.15035DOI Listing
October 2018
4 Reads

Radiotherapy for calcaneodynia, achillodynia, painful gonarthrosis, bursitis trochanterica, and painful shoulder syndrome - Early and late results of a prospective clinical quality assessment.

Radiat Oncol 2018 Apr 19;13(1):71. Epub 2018 Apr 19.

Department of Radiotherapy and Radiation Oncology, Marien Hospital Herne, Ruhr University Bochum, Bochum, Germany.

Background: The aim of this prospective clinical quality assessment was to evaluate the short-term and long-term efficacy of low dose radiotherapy (RT) for calcaneodynia, achillodynia, painful gonarthrosis, painful bursitis trochanterica, and painful shoulder syndrome.

Methods: Between October 2011 and October 2013, patients with calcaneodynia, achillodynia, painful gonarthrosis, painful bursitis trochanterica, and painful shoulder syndrome were recruited for this prospective clinical quality assessment. Single doses of 0. Read More

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http://dx.doi.org/10.1186/s13014-018-1025-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907721PMC
April 2018
17 Reads

Anatomical feasibility study of flexor hallucis longus transfer in treatment of Achilles tendon and posteromedial portal of ankle arthroscopy.

Surg Radiol Anat 2018 Sep 16;40(9):1031-1038. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Pennsylvania Hospital, University of Pennsylvania School of Medicine, Philadelphia, USA.

Purpose: The aim of this study was to evaluate the occurrence of anatomical variations of the musculotendinous junction of the flexor hallucis longus (FHL) muscle, the relationship between FHL tendon or muscle and the tibial neurovascular bundle at the level of the posterior ankle joint in human cadavers.

Methods: Seventy embalmed feet from 20 male and 15 female cadavers, the cadavers' mean age was 65.4 (range from 14 to 82) years, were dissected and anatomically classified to observe FHL muscle morphology define the relationship between FHL tendon or muscle and the tibial neurovascular bundle. Read More

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http://link.springer.com/10.1007/s00276-018-2021-5
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http://dx.doi.org/10.1007/s00276-018-2021-5DOI Listing
September 2018
10 Reads

Is heavy eccentric calf training superior to wait-and-see, sham rehabilitation, traditional physiotherapy and other exercise interventions for pain and function in mid-portion Achilles tendinopathy?

Syst Rev 2018 04 13;7(1):58. Epub 2018 Apr 13.

School of Physiotherapy, The University of Notre Dame Australia, 19 Mouat Street, PO Box 1225, Fremantle, Western Australia, 6959, Australia.

Background: Mid-portion Achilles tendinopathy (AT) is prevalent amongst athletic and non-athletic populations with pain, stiffness and impaired function typically reported. While different management options exist, loading protocols remain the best available intervention and have been shown to be effective in the management of AT. Trials investigating loading in AT have used a variety of different protocols, and recent narrative reviews suggest that no protocol is superior to another when comparing outcomes in pain and function. Read More

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http://dx.doi.org/10.1186/s13643-018-0725-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899347PMC

Considerations in the Diagnosis and Accelerated Return to Sport of a Professional Basketball Player With a Triceps Surae Injury: A Case Report.

J Orthop Sports Phys Ther 2018 May 6;48(5):388-397. Epub 2018 Apr 6.

Study Design Case report. Background Acute injuries of the triceps surae and Achilles tendon are common in sports. Rupture of the plantaris tendon can be challenging to diagnose. Read More

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http://dx.doi.org/10.2519/jospt.2018.7192DOI Listing
May 2018
11 Reads

Infographic. Achilles and patellar tendinopathy rehabilitation: strive to implement loading principles not recipes.

Br J Sports Med 2018 Oct 24;52(19):1232-1233. Epub 2018 Mar 24.

La Trobe Sports and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Bundoora, Victoria, Australia.

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http://dx.doi.org/10.1136/bjsports-2017-098615DOI Listing
October 2018
8 Reads

A simple treatment option for Achilles tendinopathy?

Authors:
Johannes Möst

Chin J Traumatol 2018 06 17;21(3):186. Epub 2018 Feb 17.

MB-LAB - Clinical Microbiology Laboratory, Innsbruck, Austria. Electronic address:

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http://dx.doi.org/10.1016/j.cjtee.2017.06.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033728PMC
June 2018
3 Reads

New lower-limb gait biomechanical characteristics in individuals with Achilles tendinopathy: A systematic review update.

Gait Posture 2018 May 8;62:146-156. Epub 2018 Mar 8.

Institute of Sport Exercise & Health (ISEH), University College London, London, UK.

Background: Variations in lower-limb biomechanics have recurrently been associated as aetiological factors for Achilles tendinopathy.

Objective: To update a previous systematic review examining lower-limb gait biomechanics in Achilles tendinopathy.

Design: Systematic Review. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09666362183014
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http://dx.doi.org/10.1016/j.gaitpost.2018.03.010DOI Listing
May 2018
7 Reads

Exploring the In Vivo Anti-Inflammatory Actions of Simvastatin-Loaded Porous Microspheres on Inflamed Tenocytes in a Collagenase-Induced Animal Model of Achilles Tendinitis.

Int J Mol Sci 2018 Mar 12;19(3). Epub 2018 Mar 12.

Department of Orthopedic Surgery and Rare Diseases Institute, Korea University College of Medicine, Guro Hospital, Guro-dong, Guro-gu, Seoul 08308, Korea.

Tendon rupture induces an inflammatory response characterized by release of pro-inflammatory cytokines and impaired tendon performance. This study sought to investigate the therapeutic effects of simvastatin-loaded porous microspheres (SIM/PMSs) on inflamed tenocytes in vitro and collagenase-induced Achilles tendinitis in vivo. The treatment of SIM/PMSs in lipopolysaccharide (LPS)-treated tenocytes reduced the expressions of pro-inflammatory cytokines (Matrix metalloproteinase-3 (), cyclooxygenase-2 (), interleukin-6 (), and tumor necrosis factor-α ()). Read More

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http://dx.doi.org/10.3390/ijms19030820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877681PMC
March 2018
7 Reads

Nodule of Achilles tendon in a patient with kidney transplant revealing phaeohyphomycosis.

Int J Dermatol 2018 Jul 23;57(7):867-868. Epub 2018 Feb 23.

Université Paris Diderot, Sorbonne Paris Cité, UFR de Médecine, Paris, France.

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http://dx.doi.org/10.1111/ijd.13955DOI Listing
July 2018
4 Reads

Reconstruction for chronic Achilles tendinopathy: comparison of flexor hallucis longus (FHL) transfer versus V-Y advancement.

Int Orthop 2018 04 16;42(4):829-834. Epub 2018 Feb 16.

University of Alabama at Birmingham, 1313 13th Avenue South, Suite 207, Birmingham, AL, 35205, USA.

Background: Several operative techniques exist for Achilles tendinopathy. The purpose of our study was to compare the clinical and functional outcomes of flexor hallucis longus (FHL) transfer and V-Y advancement for the treatment of chronic insertional Achilles tendinopathy.

Methods: Retrospective chart review from 2010 to 2016 of patients that underwent FHL transfer or V-Y advancement for chronic insertional Achilles tendinopathy. Read More

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http://link.springer.com/10.1007/s00264-018-3834-x
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http://dx.doi.org/10.1007/s00264-018-3834-xDOI Listing
April 2018
25 Reads

Novel animal model for Achilles tendinopathy: Controlled experimental study of serial injections of collagenase in rabbits.

PLoS One 2018 13;13(2):e0192769. Epub 2018 Feb 13.

Department of Orthopaedics and Traumatology, University of Sao Paulo (USP), School of Medicine, Sao Paulo, Sao Paulo, Brazil.

Our goal was to develop a novel technique for inducing Achilles tendinopathy in animal models which more accurately represents the progressive histological and biomechanical characteristic of chronic Achilles tendinopathy in humans. In this animal research study, forty-five rabbits were randomly assigned to three groups and given bilateral Achilles injections. Low dose (LD group) (n = 18) underwent a novel technique with three low-dose (0. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192769PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811024PMC
April 2018
9 Reads

Different Achilles Tendon Pathologies Show Distinct Histological and Molecular Characteristics.

Int J Mol Sci 2018 Jan 30;19(2). Epub 2018 Jan 30.

Julius Wolff Institute, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 13353 Berlin, Germany.

Reasons for the development of chronic tendon pathologies are still under debate and more basic knowledge is needed about the different diseases. The aim of the present study was therefore to characterize different acute and chronic Achilles tendon disorders. Achilles tendon samples from patients with chronic tendinopathy ( = 7), chronic ruptures ( = 6), acute ruptures ( = 13), and intact tendons ( = 4) were analyzed. Read More

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http://dx.doi.org/10.3390/ijms19020404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5855626PMC
January 2018
10 Reads

Use of a Non-Crosslinked Porcine Dermal Matrix in Repair of the Achilles and Other Tendons of the Foot.

Authors:
Ali A Anaim

Foot Ankle Spec 2018 Jan 1:1938640017751189. Epub 2018 Jan 1.

Temple University Hospital, Philadelphia, PA, USA (AAA).

Background: Ankle tendon augmentation with biological matrixes has been shown to be beneficial, especially for Achilles tendon rupture as it adds to the integrity of the repair. Biologic matrix augmentation has been used increasingly in chronic and complex injuries where reinforcement is required. The objective of this study was to present outcomes of a series of patients who underwent tendon repair augmented with a new biologic matrix. Read More

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http://dx.doi.org/10.1177/1938640017751189DOI Listing
January 2018
4 Reads

Glycine improves the remodeling process of tenocytes in vitro.

Cell Biol Int 2018 Jul 8;42(7):804-814. Epub 2018 Feb 8.

Department of Structural and Functional Biology, Institute of Biology, State University of Campinas, 13083-863 CP 6109, Campinas, São Paulo, Brazil.

Tendinitis changes the biochemical and morphological properties of the tendon, promoting an increase of activity of metalloproteinases and disorganization of collagen bundles. Tenocytes, the primary cells in tendon, are scattered throughout the collagenic fibers, and are responsible of tendon remodeling and tissue repair in pathological condition. In vivo, glycine, component of the typical Gly-X-Y collagen tripeptide, showed beneficial effects in biochemical and biomechanical properties of Achilles tendon with tendinitis. Read More

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http://dx.doi.org/10.1002/cbin.10937DOI Listing
July 2018
5 Reads

Proximal to Distal Exostectomy for the Treatment of Insertional Achilles Tendinopathy.

Foot Ankle Spec 2018 Aug 17;11(4):362-364. Epub 2018 Jan 17.

Department of Orthopaedics, Madigan Army Medical Center, Tacoma, Washington (ZLM, JR).

When insertional Achilles tendinopathy is addressed surgically via a central-Achilles splitting approach, the calcaneal osteotomy has classically been performed from distal to proximal. We describe a simple proximal to distal technique that allows optimal resection of both the calcaneal exostosis and Achilles enthesophyte, minimizes risk to the soft tissues and skin, provides a bony attachment surface parallel to the axis of the Achilles tendon, and avoids the risk of osteotomy extension into the subtalar joint.

Levels Of Evidence: Level V: Technique tip. Read More

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http://dx.doi.org/10.1177/1938640017751187DOI Listing
August 2018
7 Reads

Endoscopic Transfer of Flexor Hallucis Longus Tendon for Chronic Achilles Tendon Rupture: Technical Aspects and Short-Time Experiences.

Foot Ankle Spec 2018 Oct 17;11(5):461-466. Epub 2018 Jan 17.

Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway (EEH, KHH, AHS).

Background: Chronic Achilles tendon ruptures can lead to reduced power of plantar flexion in the ankle with impaired gait ability. The open 1- or 2-incision technique for flexor hallucis longus transfer has proven good functional outcome but has the disadvantage of relatively extensive surgery performed at a vulnerable location. To reduce the risk of soft tissue problems, the flexor hallucis longus transfer can be performed endoscopically. Read More

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http://dx.doi.org/10.1177/1938640017754234DOI Listing
October 2018
4 Reads

[Drug induced tendon injury].

Vnitr Lek Winter 2018;63(12):967-971

Tendon injury belongs to the less known side effects of some drugs, reported until recently only for glucocorticoids and fluoroquinolones. To date, some other classes of drugs such as statins, aromatase inhibitors, anabolic steroids, potentially causing tendon injury, have been added to the list. The authors discuss the most common clinical presentations, diagnosis, and management as well as latest experimental data regarding this issue. Read More

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April 2018
6 Reads

Apolipoprotein A1 distribution pattern in the human Achilles tendon.

Scand J Med Sci Sports 2018 May 8;28(5):1506-1513. Epub 2018 Feb 8.

Department of Integrative Medical Biology, Anatomy Section, Umeå University, Umeå, Sweden.

Metabolic factors such as cholesterol appear to play an important role in the development of Achilles tendinopathy. There is, however, no morphologic proof explaining the link between high cholesterol and tendinopathy. As apolipoprotein A1 (Apo-A1) is essential for reverse cholesterol transport, it may be related to cholesterol overload in tendon. Read More

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http://dx.doi.org/10.1111/sms.13051DOI Listing
May 2018
4 Reads

Editorial Commentary: The Amsterdam Achilles Tendinopathy Endoscopic Treatment: Should We Start Booking Our Patients for Surgery?

Authors:
Sameh A Labib

Arthroscopy 2018 01;34(1):270-271

Mid-portion Achilles tendinopathy remains an elusive clinical and pathologic condition, with only a limited treatment algorithm to guide us. Although the risk factors and natural history have been documented, the exact etiology and source of pain generation remains unclear in the literature. Several Level I studies have shown reasonable success with a myriad of nonoperative treatments over the long term. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.08.233DOI Listing
January 2018
3 Reads

Achilles Tendinopathy.

Sports Med Arthrosc Rev 2018 Mar;26(1):16-30

Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England.

Achilles tendinopathy is a common cause of disability. Despite the economic and social relevance of the problem, the causes and mechanisms of Achilles tendinopathy remain unclear. Tendon vascularity, gastrocnemius-soleus dysfunction, age, sex, body weight and height, pes cavus, and lateral ankle instability are considered common intrinsic factors. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000185DOI Listing
March 2018
11 Reads

American College of Foot and Ankle Surgeons Clinical Consensus Statement: Diagnosis and Treatment of Adult Acquired Infracalcaneal Heel Pain.

J Foot Ankle Surg 2018 Mar - Apr;57(2):370-381. Epub 2017 Dec 25.

Private Practice, Rocky Mountain Foot & Ankle Center, Wheat Ridge, CO; Faculty, Highlands-Presbyterian/St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.

Adult acquired inferior calcaneal heel pain is a common pathology seen in a foot and ankle practice. A literature review and expert panel discussion of the most common findings and treatment options are presented. Various diagnostic and treatment modalities are available to the practitioner. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.10.018DOI Listing
September 2018
11 Reads