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J Sport Rehabil 2019 Feb 12:1-28. Epub 2019 Feb 12.

1 Department of Physical Therapy, Franklin Pierce University Goodyear, AZ.

Context:: Limited ankle dorsiflexion (DF) range of motion (ROM) has been correlated with decreased flexibility of the gastrocnemius/soleus (GS) complex. Decreased ankle DF ROM can lead to an increase in lower extremity injuries, e.g. Read More

Orthopade 2019 Feb 11. Epub 2019 Feb 11.

Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparats, Sektion Fuß- und Sprunggelenkchirurgie, Kantonspital St. Gallen, Rorschacher Str. 95, 9007, St. Gallen, Schweiz.

"Heel pain" describes a very common reason for foot orthopedic consultation and the further differential diagnostic investigation is crucial for the choice of correct treatment. In the treatment of frequent underlying diseases, such as plantar fasciitis or insertional tendinopathy of the Achilles tendon, a variety of modern strategies are available. Rarer diseases, such as tumors or nerve entrapment syndromes must be delineated and correctly classified. Read More

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. Read More

Ultrasound Med Biol 2019 Feb 7. Epub 2019 Feb 7.

Department of Physical Medicine and Rehabilitation, "OO.RR Hospital", University of Foggia, Foggia, Italy.

Extracorporeal shock wave therapy (ESWT) has been found to have a positive effect in the treatment of pain in Achilles tendinopathy, although the exact mechanism is not yet completely understood. Among the mechanisms suggested to underlie ESWT effects are direct stimulation of healing, neovascularization and direct suppressive effects on nociceptors and hyperstimulation, which would block the gate-control system. The neovascularization observed in flogistic tissue is associated with stimulated nerve fibers around tendons and induces a painful condition. Read More

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

SAGE Open Med 2019 30;7:2050312118822642. Epub 2019 Jan 30.

Department of Community Medicine and Rehabilitation, Sports Medicine Unit, Umeå University, Umeå, Sweden.

Background: Treatment with ultrasound and colour Doppler-guided minimally invasive Achilles tendon scraping and plantaris tendon removal has shown promising short-term results in patients with chronic painful midportion Achilles tendinopathy.

Methods: In a follow-up study, 182 consecutive patients (241 tendons) who had undergone Achilles tendon scraping and plantaris tendon removal were contacted on telephone by an independent investigator. The patients who answered the telephone call were included, and they answered a questionnaire on telephone and then also sent their written answers. Read More

Br J Sports Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Orthopedic Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Background: Achilles tendinopathy is a common problem, but its exact aetiology remains unclear.

Objective: To evaluate the association between potential clinical risk factors and Achilles tendinopathy.

Design: Systematic review. Read More

Phys Ther Sport 2019 Mar 28;36:110-115. Epub 2019 Jan 28.

Department of Physical Therapy, High Point University, High Point, NC, USA.

Objectives: To determine normal temperatures over the Achilles tendon over nine weeks.

Design: A prospective cohort study with nine weeks of observation.

Setting: University's Human Biomechanics and Physiology Laboratory. Read More

Foot Ankle Spec 2019 Feb 2:1938640019826673. Epub 2019 Feb 2.

UNIFESP-Escola Paulista de Medicina, São Paulo, SP, Brazil.

Background: The usual initial treatment for insertional Achilles tendinopathy is nonsurgical. Yet there is no standard conservative treatment for Achilles insertional tendinopathy. Shockwave therapy (SWT) has become a reliable option for the management of this illness over the past years. Read More

J Musculoskelet Disord Treat 2018 21;4(2). Epub 2018 May 21.

Department of Orthopaedic Surgery, Rush University Medical Center, USA.

Background: The attempted healing of tendon after acute injury (overloading, partial tear or complete rupture) proceeds via the normal wound healing cascade involving hemostasis, inflammation, matrix synthesis and matrix remodeling. Depending on the degree of trauma and the nature of the post-injury milieu, a variable degree of healing and recovery of function occurs. Post-injury analgesia is often achieved with NSAIDs such as Ibuprofen, however there is increasing evidence that NSAID usage may interfere with the healing process. Read More

Gait Posture 2019 Jan 11;69:13-24. Epub 2019 Jan 11.

University of Groningen, University Medical Center Groningen, Department of Sports and Exercise Medicine, The Netherlands.

Introduction: Abnormal kinematics have been implicated as one of the major risk factors for lower limb tendinopathy (LLT).

Objective: To systematically review evidence for kinematic risk factors for LLT in runners.

Methods: Individual electronic searches in PubMed, EMBASE and Web of Science were conducted. Read More

Br J Sports Med 2019 Jan 13. Epub 2019 Jan 13.

School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.

Objective: To assess the effectiveness of heavy eccentric calf training (HECT) in comparison with natural history, traditional physiotherapy, sham interventions or other exercise interventions for improvements in pain and function in mid-portion Achilles tendinopathy.

Design: A systematic review and meta-analysis were conducted as per the PRISMA guidelines.

Data Sources: PUBMED, CINAHL (Ovid) and CINAHL (EBSCO) were searched from inception until 24 September 2018. Read More

J Foot Ankle Surg 2019 Jan 3. Epub 2019 Jan 3.

Director of Residency Training, Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, Pittsburgh, PA. Electronic address:

Calcific insertional Achilles tendinopathy (CIAT) is a relatively common musculoskeletal entity that results in significant pain and disability, as well as posterior muscle group weakness. There is a lack of evidence criteria to support the timing of operative intervention, choice of procedures, or whether equinus requires treatment. The purpose of this study was to retrospectively review 45 patients (48 feet) who have undergone surgical management of CIAT with concomitant posterior muscle group weakness with the single heel rise testing. Read More

Nutrients 2019 Jan 2;11(1). Epub 2019 Jan 2.

Department of Sport Medicine, Australian Institute of Sport, Leverrier St, Bruce ACT 2617, Australia.

The current pilot study investigates whether oral supplementation of specific collagen peptides improves symptoms and tendon vascularisation in patients with chronic mid-portion Achilles tendinopathy in combination with structured exercise. Participants were given a placebo or specific collagen peptides (TENDOFORTE) in combination with a bi-daily calf-strengthening program for 6 months. Group AB received specific collagen peptides for the first 3 months before crossing over to placebo. Read More

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

BMJ Open Sport Exerc Med 2018 5;4(1):e000462. Epub 2018 Dec 5.

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

Objectives: Surgical removal of the plantaris tendon can cure plantaris-associated Achilles tendinopathy, a condition in which Achilles and plantaris tendinopathy coexist. However, rare cases with plantaris tendinopathy alone are often misdiagnosed due to a normal Achilles tendon.

Design And Setting: Prospective case series study at one centre. Read More

BMJ Open Sport Exerc Med 2018 5;4(1):e000446. Epub 2018 Dec 5.

Biomedical Sciences, Cardiff Metropolitan University, Cardiff, UK.

Objectives: The aim of this study was to establish quantitative values for asymptomatic and symptomatic Achilles tendons.

Design: Cohort study with a single (cross-sectional) time point of patients diagnosed with unilateral Achilles tendinopathy and an asymptomatic group with comparative homogeneity.

Methods: A sample of 50 participants: 25 diagnosed with symptomatic unilateral Achilles tendinopathy (AT group) and 25 with asymptomatic Achilles tendons (control group 2). Read More

Int J Med Sci 2018 23;15(14):1764-1770. Epub 2018 Nov 23.

Faculty of Sport, Universidad Europea, Villaviciosa de Odón, Madrid, Spain.

: Abdominal muscles are key in maintaining body stability and balance and an improvement in the functioning of these muscles could influence the rehabilitation process in lower limb pathologies such as Achilles Tendinopathy (AT). The aim was to explore whether calf eccentric exercise (EE) with vibration training was more effective at causing adaptation to the rectus anterior (RA) thickness and inter-rectus distance (IRD) than calf EE with cryotherapy. : The investigation was a single-blinded, randomized, controlled clinical trial (NCT03515148). Read More

Foot Ankle Int 2018 Dec 20:1071100718816953. Epub 2018 Dec 20.

1 Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Alicante, Spain.

Background:: A reliability generalization study of a questionnaire is necessary to provide higher-level evidence for its reliability. This has not been performed for the Victorian Institute of Sport Assessment-Achilles tendinopathy (VISA-A) questionnaire. The VISA-A has been a commonly used questionnaire to evaluate the symptoms of Achilles tendon disorders and their impact on physical activity, one of the most common disorders among athletes and sports persons (9%-40%). Read More

Phys Ther Sport 2019 Jan 5;35:122-126. Epub 2018 Dec 5.

Faculty of Sports Sciences, European University of Madrid, Villaviciosa de Odón, Madrid, Spain; Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.

Aim: The aim of the present study was to evaluate and quantify with ultrasound imaging (USI) the Achilles tendon thickness, cross-sectional area (CSA), Kager's fat pad length and gastrocnemius-soleus pennation angle (PA) between chronic mid-portion Achilles tendinopathy (AT) and healthy subjects.

Methods: A total sample of 143 individuals (age: 41.3 ± 12. Read More

Musculoskelet Sci Pract 2019 Feb 15;39:67-72. Epub 2018 Nov 15.

Orthopaedic Department, AMBU HB, Swansea, UK.

Background: Achilles tendinopathy is a common pathology that is considered difficult to treat. At a time of austerity in the NHS it is essential to have carefully designed pathways that are monitored in terms of cost and effectiveness. However, a paucity of evidence exists for what the "best value" dedicated "joined up" pathway of care is for this difficult condition. Read More

Stem Cells Int 2018 28;2018:2613821. Epub 2018 Oct 28.

Center for Translational Medicine Research and Development, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518000, China.

Tendinopathy is prevalent in athletic and many occupational populations; nevertheless, the pathogenesis of tendinopathy remains unclear. Tendon-derived stem cells (TDSCs) were regarded as the key culprit for the development of tendinopathy. However, it is uncertain how TDSCs differentiate into adipocytes, chondrocytes, or osteocytes in the degenerative microenvironment of tendinopathy. Read More

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

J Anat 2019 Feb 28;234(2):252-262. Epub 2018 Nov 28.

Department of Biomedical Engineering, University of Delaware, Newark, USA.

Rodent tendons are widely used to study human pathologies such as tendinopathy and repair, and to address fundamental physiological questions about development, growth, and remodeling. However, how the gross morphology and multi-scale hierarchical structure of rat tendons, such as the tail, plantaris, and Achilles tendons, compare with that of human tendons are unknown. In addition, there remains disagreement about terminology and definitions. Read More

BMC Pulm Med 2018 Nov 19;18(1):170. Epub 2018 Nov 19.

Centre for Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, Northern Ireland.

Background: Non-Tuberculous Mycobacterial-pulmonary disease (NTM-PD) is increasing in incidence and prevalence. Mycobacterium abscessus (M.abscessus) is a rapid growing multi-resistant NTM associated with severe NTM-PD requiring prolonged antibiotic therapy. Read More

Eur J Rheumatol 2018 Nov 16:1-5. Epub 2018 Nov 16.

Division of Rheumatology, University of California David Geffen School of Medicine, Los Angeles, USA.

Alkaptonuria (AKU) is a rare autosomal recessive disorder that results from the deficient activity of homogentisate 1,2-dioxygenase and leads to increased levels of homogentisic acid (HGA) and its oxidized product benzoquinone acetic acid (BQA). Both HGA and BQA form polymerized deposits that lead to a bluish-black discoloration of the cartilage as well as degeneration, inflammation, and calcification of the tendons, ligaments, intervertebral discs, and large joints and increased bone resorption. A brittle and fragmented cartilage forms and leads to aberrant loading of the subchondral bone. Read More

Clin Podiatr Med Surg 2019 Jan 25;36(1):141-151. Epub 2018 Oct 25.

DeKalb Medical Center, 2701 North Decatur Road, Decatur, GA 30033, USA.

Obese patients are at higher risk for surgical complications and consist of a large portion of podiatric patients. Obese patients are additionally at increased risk of developing specific podiatric conditions, and it is important to be able to identify and appropriately treat these conditions accordingly. Initially, conservative treatment is adequate for a variety of pathologic conditions related to obesity. Read More

Phys Sportsmed 2018 Nov 14:1-6. Epub 2018 Nov 14.

a Department of Medicine and Science of Aging , University G. d'Annunzio , Chieti Scalo , Italy.

Objectives: The efficacy of platelet rich plasma in the treatment of Achilles tendinopathy is controversial. Despite positive results observed in open studies, randomized controlled trials failed to show difference against saline or rehabilitation. Aims of this retrospective observational study were to compare the efficacy of platelet-rich plasma and dry needling and to assess possible differences age and sex-related. Read More

J Biomech 2019 Jan 28;82:142-148. Epub 2018 Oct 28.

Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia.

Achilles tendon material properties and geometry are altered in Achilles tendinopathy. The purpose of this study was to determine the relative contributions of altered material properties and geometry to free Achilles tendon stress distribution during a sub-maximal contraction in tendinopathic relative to healthy tendons. Tendinopathic (n = 8) and healthy tendons (n = 8) were imaged at rest and during a sub-maximal voluntary isometric contraction using three-dimensional freehand ultrasound. Read More

Cell Physiol Biochem 2018 9;50(6):2046-2059. Epub 2018 Nov 9.

Department of Orthopeadics, Southwest Hospital, Third Military Medical University, Chongqing,

Background/aims: Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used in clinical practice to relieve fever and pain. Aspirin, as a representative NSAID, has been widely used in the treatment of tendinopathy. Some reports have demonstrated that aspirin can induce apoptosis in cancer cells. Read More

Scand J Pain 2019 Jan;19(1):139-146

SMI, Department of Health Science and Technology, School of Medicine, Aalborg University, Aalborg, Denmark.

Background and aims Achilles tendinopathy is common among runners, but the etiology remains unclear. High mechanical pain sensitivity may be a predictor of increased risk of developing Achilles tendinopathy in this group. The purpose of this study was to investigate whether local pain sensitivity could predict the development of Achilles tendinopathy in recreational male runners. Read More

Exp Clin Transplant 2018 Nov 6. Epub 2018 Nov 6.

From the Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey.

Objectives: The Achilles tendon, which is composed of tendinous parts of gastrocnemius and soleus muscles, is the strongest and the largest tendon in the human body. Chronic renal disease can lead to reduced physical activity and exercise capacity. Spontaneous rupture of the Achilles tendon can occur in patients with chronic renal failure, with recurrent microtraumas, hypoxia, and chronic acidosis as predisposing factors. Read More

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

Eur J Orthop Surg Traumatol 2018 Oct 26. Epub 2018 Oct 26.

Department of Medicine and Science of Aging, University G. d'Annunzio, Chieti-Pescara, Via dei Vestini 31, 66013, Chieti Scalo, CH, Italy.

Introduction: Running is a very popular modality of physical activity, which may help to lose weight and normalize pathological values of blood parameters in subjects suffering from metabolic disorders. Given that both overuse and metabolic pathologies are responsible for the onset of tendon damage, aim of the present study was to evaluate whether the first group of pathogenetic factors or the latter was more responsible for mid-portion Achilles tendinopathy.

Method: Thirty-six and 28 subjects with and without mid-portion Achilles tendinopathy, who were regular runners and started running for metabolic disorders, were enrolled, respectively. Read More

Clin J Sport Med 2018 Oct 25. Epub 2018 Oct 25.

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

Background: Achilles and patellar tendinopathy are common in runners. Despite the relevance of the problem, causative factors remain poorly understood. This cross-sectional study evaluated the association between Achilles and patellar tendinopathy and age, sex, weight, height, number of marathons, and impact profile in runners who participated in the 2017 Marathon of Rome. Read More

PLoS One 2018 25;13(10):e0205860. Epub 2018 Oct 25.

Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

Musculoskeletal soft tissue injuries are complex phenotypes with genetics being one of many proposed risk factors. Case-control association studies using the candidate gene approach have predominately been used to identify risk loci for these injuries. However, the ability to identify all risk conferring variants using this approach alone is unlikely. Read More

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

Foot Ankle Spec 2018 Oct 19:1938640018806662. Epub 2018 Oct 19.

Department of Orthopaedics and Rehabilitation, University of Rochester, New York.

Background: Achilles tendinopathy is a common clinical disorder. Utilizing the Patient-Reported Outcomes Measurement Information System, we aim to determine clinical response to nonoperative achilles tendinopathy rehabilitative care of insertional achilles tendinopathy compared to non-insertional achilles tendinopathy.

Methods: Prospective Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Depression scores were collected for patients with achilles tendinopathy at presentation and following a standard course of nonoperative care. Read More

Lasers Med Sci 2018 Oct 13. Epub 2018 Oct 13.

Faculty of Allied Health Sciences, The Hashemite University, Zarqa, Jordan.

Healthy tendons play an important role in joint movements and subjected to a group of pathologies called tendinopathy due to multiple factors. Tendons have a slowly repairing process due to the low vascularity and cellularity. Treatment options aimed at potentiating the healing response and relieving symptoms. Read More

PLoS One 2018 12;13(10):e0204742. Epub 2018 Oct 12.

Section for Sports Science, Department of Public Health, Aarhus University, Aarhus, Denmark.

Purpose: The purpose of the present study was to describe the incidence proportion of different types of running-related injuries (RRI) among recreational runners and to determine their time to recovery.

Methods: A sub-analysis of the injured runners included in the 839-person, 24-week randomized trial named Run Clever. During follow-up, the participants reported levels of pain in different anatomical areas on a weekly basis. Read More

BMJ Open Sport Exerc Med 2018 4;4(1):e000415. Epub 2018 Oct 4.

Department of Orthopedic Surgery, Næstved, Denmark.

Background: Achilles tendinopathy is a common and often long-lasting injury. We present a 10-year follow-up on a pragmatic study on Achilles tendinopathy treated with controlled exercises supplemented with corticosteroid injections if necessary in order to continue training.

Methods: All patients who completed the original study (n=93) were invited for a 10-year follow-up. Read More

Br J Sports Med 2019 Feb 9;53(4):251-262. Epub 2018 Oct 9.

Institute of Infection, Immunity and Inflammation, College of Medicine, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.

Objective: To produce a best evidence synthesis of the clinical effects of topical glyceryl trinitrate (GTN) in the treatment of tendinopathies.

Design: A systematic review of published randomised controlled trials (RCTs) of the use of GTN in patients with tendinopathy.

Data Sources: MEDLINE, Embase, Scopus and CINAHL from database inception to January 2018. Read More

Mayo Clin Proc 2018 Oct;93(10):1531-1532

Mercer University Health Sciences Center, Mercer University, Atlanta, GA.

J Ultrasound Med 2018 Oct 2. Epub 2018 Oct 2.

Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa, USA.

Due to the novelty of percutaneous ultrasonic tenotomy, the risks and benefits of this minimally invasive procedure for insertional Achilles tendinopathy pain have only been examined in case studies and retrospective chart reviews for other diagnoses. This retrospective chart review over a 3.5-year period identified 34 patients with insertional Achilles tendinopathy who had percutaneous ultrasonic tenotomy (mean age ± SD, 52. Read More

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

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

J Appl Physiol (1985) 2018 Sep 27. Epub 2018 Sep 27.

Orthopaedic Surgery, University of Pennsylvania, United States.

Achilles tendinopathy is ten-times more common amongst running athletes compared to age-matched peers. Load induced tendon remodeling and its progression in an at-risk population of developing symptomatic tendinopathy is not well understood. The purpose of this study was to prospectively characterize Achilles and patellar tendon structure in competitive collegiate distance runners over different competitive seasons using quantitative ultrasound imaging. Read More

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

Gait Posture 2018 10 12;66:283-287. Epub 2018 Sep 12.

Rinker-Ross School of Health Sciences, Physical Therapy Program, Trine University, 1819 Carew Street, Fort Wayne, IN, United States.

Background: Female runners that habitually use a forefoot/midfoot strike pattern (non-rearfoot runners) may be at greater risk for Achilles tendinopathy compared to runners that habitually use a rearfoot strike pattern. Differences in Achilles tendon loading between non-rearfoot and rearfoot strike runners may be a contributing factor.

Research Question: Our purpose was to determine if there were differences in Achilles tendon loading and cross-sectional area between female habitual rearfoot and non-rearfoot strike runners. Read More

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