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Chapter 15 - Disorders of the Tendo Achillis

Published online by Cambridge University Press:  29 March 2018

Andrew Robinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
James W. Brodsky
Affiliation:
Baylor College of Medicine, Texas
John P. Negrine
Affiliation:
Orthosports, Sydney
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Publisher: Cambridge University Press
Print publication year: 2018

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References

Szaro, P, Witkowski, G, Smigielski, R, Krajewski, P, Ciszek, B. Fascicles of the adult human Achilles tendon: an anatomical study. Ann Anat. 2009; 191(6):586–93.CrossRefGoogle ScholarPubMed
Chen, TM, Rozen, WM, Pan, W-R, Ashton, MW, Richardson, MD, Taylor, GI. The arterial anatomy of the Achilles tendon: anatomical study and clinical implications. Clin Anat. 2009; 22(3):377–85.Google Scholar
Lohrer, H, Arentz, S, Nauck, T, Dorn-Lange, NV, Konerding, MA. The Achilles tendon insertion is crescent-shaped: an in vitro anatomic investigation. Clin Orthop Relat Res. 2008; 466(9):2230–7.CrossRefGoogle Scholar
van Sterkenburg, MN, Kerkhoffs, GM, Kleipool, RP, Niek van Dijk, C. The plantaris tendon and a potential role in mid-portion Achilles tendinopathy: an observational anatomical study. J Anat. 2011; 218(3):336–41.Google Scholar
Maffulli, N, Khan, KM, Puddu, G. Overuse tendon conditions: time to change a confusing terminology. Arthroscopy. 1998; 14(8):840–3.Google Scholar
Kvist, M. Achilles tendon injuries in athletes. Ann Chirurg Gynae. 1991; 80(2):188201.Google ScholarPubMed
Lysholm, J, Wiklander, J. Injuries in runners. Am J Sports Med. 1987; 15(2):168–71.CrossRefGoogle ScholarPubMed
Kannus, P, Jozsa, L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am. 1991; 73(10):1507.CrossRefGoogle ScholarPubMed
Holmes, GB, Lin, J. Etiologic factors associated with symptomatic Achilles tendinopathy. Foot Ankle Int. 2006; 27(11):952–9.CrossRefGoogle ScholarPubMed
Ribbans, WJ, Collins, M. Pathology of the tendo Achillis: do our genes contribute? Bone Joint J. 2013; 95-B(3):305–13.Google ScholarPubMed
Nell, EM, van der Merwe, L, Cook, J, Handley, CJ, Collins, M, September, AV. The apoptosis pathway and the genetic predisposition to Achilles tendinopathy. J Orthop Res. 2012; 30(11):1719–24.CrossRefGoogle ScholarPubMed
Munteanu, SE, Barton, CJ. Lower limb biomechanics during running in individuals with Achilles tendinopathy: a systematic review. J Foot Ankle Res. 2011; 4:15.CrossRefGoogle ScholarPubMed
Lyman, J, Weinhold, PS, Almekinders, LC. Strain behavior of the distal Achilles tendon: Implications for insertional Achilles tendinopathy. Am J Sports Med. 2004; 32(2):457–61.CrossRefGoogle ScholarPubMed
Rufai, A, Ralphs, JR, Benjamin, M. Structure and histopathology of the insertional region of the human Achilles tendon. J Orthop Res. 1995; 13(4):585–93.CrossRefGoogle ScholarPubMed
Yang, X, Coleman, DP, Pugh, ND, Nokes, LD. The volume of the neovascularity and its clinical implications in Achilles tendinopathy. Ultrasound Med Biol. 2012; 38(11):1887–95.Google Scholar
Öhberg, L, Lorentzon, R, Alfredson, H. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc. 2001; 9(4):233–8.CrossRefGoogle Scholar
Alfredson, H, Ohberg, L, Forsgren, S. Is vasculo-neural ingrowth the cause of pain in chronic Achilles tendinosis? An investigation using ultrasonography and colour Doppler, immunohistochemistry, and diagnostic injections. Knee Surg Sports Traumatol Arthrosc. 2003; 11(5):334–8.CrossRefGoogle ScholarPubMed
Boesen, AP, Boesen, MI, Torp-Pedersen, S, et al. Associations between abnormal ultrasound color Doppler measures and tendon pain symptoms in badminton players during a season: A prospective cohort study. Am J Sports Med. 2012; 40(3):548–55.CrossRefGoogle ScholarPubMed
Haglund, P. Beitrag zur klinik der achillessehne. Zeitschr Orthop Chir. 1928; 49:4958.Google Scholar
Pavlov, H, Heneghan, MA, Hersh, A, Goldman, AB, Vigorita, V. The Haglund syndrome: initial and differential diagnosis. Radiology. 1982; 144(1):83–8.Google Scholar
Leung, JL, Griffith, JF. Sonography of chronic Achilles tendinopathy: a case–control study. J Clin Ultrasound. 2008; 36(1):2732.CrossRefGoogle ScholarPubMed
McLauchlan, GJ, Handoll, HH. Interventions for treating acute and chronic achilles tendinitis. Cochrane Database Syst Rev. 2001; 2(2):CD000232.Google Scholar
Aström, M, Westlin, N. No effect of piroxicam on Achilles tendinopathy. A randomized study of 70 patients. Acta Orthop Scand. 1992; 63(6):631–4.Google Scholar
Tsai, WC, Hsu, CC, Chou, SW, Chung, CY, Chen, J, Pang, JH. Effects of celecoxib on migration, proliferation and collagen expression of tendon cells. Connect Tissue Res. 2007; 48(1):4651.CrossRefGoogle ScholarPubMed
Li, Z, Yang, G, Khan, M, Stone, D, Woo, SL, Wang, JH. Inflammatory response of human tendon fibroblasts to cyclic mechanical stretching. Am J Sports Med. 2004; 32(2):435–40.CrossRefGoogle ScholarPubMed
Öhberg, L, Lorentzon, R, Alfredson, H. Eccentric training in patients with chronic Achilles tendinosis: normalised tendon structure and decreased thickness at follow up. Br J Sports Med. 2004, 38(1):811.Google Scholar
Rees, JD, Lichtwark, GA, Wolman, RL, Wilson, AM. The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans. Rheumatol. 2008; 47(10):1493–7.CrossRefGoogle Scholar
Alfredson, H, Pietilä, T, Jonsson, P, Lorentzon, R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998; 26(3):360–6.Google ScholarPubMed
Verrall, G, Schofield, S, Brustad, T. Chronic Achilles tendinopathy treated with eccentric stretching program. Foot Ankle Int. 2011; 32(9):843–9.CrossRefGoogle ScholarPubMed
Rompe, JD, Furia, J, Maffulli, N. Eccentric loading versus eccentric loading plus shock-wave treatment for midportion Achilles tendinopathy: a randomized controlled trial. Am J Sports Med. 2009; 37(3):463–70.CrossRefGoogle ScholarPubMed
Furia, JP. High-energy extracorporeal shock wave therapy as a treatment for chronic noninsertional Achilles tendinopathy. Am J Sports Med. 2008; 36(3):502–8.CrossRefGoogle ScholarPubMed
Ogden, JA, Tóth-Kischkat, A, Schultheiss, R. Principles of shock wave therapy. Clin Orthop Relat Res. 2001; 387:817.CrossRefGoogle Scholar
Vetrano, M, d’Alessandro, F, Torrisi, MR, Ferretti, A, Vulpiani, MC, Visco, V. Extracorporeal shock wave therapy promotes cell proliferation and collagen synthesis of primary cultured human tenocytes. Knee Surg Sports Traumatol Arthrosc. 2011; 19(12):2159–68.CrossRefGoogle ScholarPubMed
Han, SH, Lee, JW, Guyton, GP, Parks, BG, Courneya, J-P, Schon, LC. Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot Ankle Int. 2009; 30(2):93–8.Google ScholarPubMed
Suzuki, T, Nakamura, Y, Moriya, T, Sasano, H. Effects of steroid hormones on vascular functions. Microsc Res Tech. 2003; 60(1):7684.CrossRefGoogle ScholarPubMed
Smith, AG, Kosygan, K, Williams, H, Newman, RJ. Common extensor tendon rupture following corticosteroid injection for lateral tendinosis of the elbow. Br J Sports Med. 1999; 33(6):423–5.CrossRefGoogle ScholarPubMed
Paoloni, JA, Appleyard, RC, Nelson, J, Murrell, GA. Topical glyceryl trinitrate application in the treatment of chronic supraspinatus tendinopathy: a randomized, double-blinded, placebo-controlled clinical trial. Am J Sports Med. 2005; 33(6):806–13.Google Scholar
Kane, TP, Ismail, M, Calder, JD. Topical glyceryl trinitrate and non-insertional Achilles tendinopathy. A clinical and cellular investigation. Am J Sports Med. 2008; 36(6):1160–3.CrossRefGoogle Scholar
Calder, JD, Buttery, L, Revell, PA, Pearse, M, Polak, JM. Apoptosis: a significant cause of bone cell death in osteonecrosis of the femoral head. J Bone Joint Surg Br. 2004; 86(8):1209–13.Google ScholarPubMed
de Jonge, S, de Vos, RJ, Weir, A, et al. One-year follow-up of platelet-rich plasma treatment in chronic Achilles tendinopathy: a double-blind randomized placebo-controlled trial. Am J Sports Med. 2011; 39(8):1623–9.CrossRefGoogle ScholarPubMed
Sadoghi, P, Rosso, C, Valderrabano, V, Leithner, A, Vavken, P. The role of platelets in the treatment of Achilles tendon injuries. J Orthop Res. 2013; 31(1):111–18.Google Scholar
Chan, O, O’Dowd, D, Padhiar, N, et al. High volume image guided injections in chronic Achilles tendinopathy. Disabil Rehabil. 2008; 30(20–22):1697–708.Google Scholar
Maxwell, NJ, Ryan, MB, Taunton, JE, Gillies, JH, Wong, AD. Sonographically guided intratendinous injection of hyperosmolar dextrose to treat chronic tendinosis of the Achilles tendon: a pilot study. Am J Roentgenol. 2007; 189(4):W215–20.CrossRefGoogle ScholarPubMed
Willberg, L, Sunding, K, Ohberg, L, Forssblad, M, Fahlström, M, Alfredson, H. Sclerosing injections to treat midportion Achilles tendinosis: a randomised controlled study evaluating two different concentrations of polidocanol. Knee Surg Sports Traumatol Arthrosc. 2008; 16(9):859–64.Google Scholar
Balasubramaniam, P, Prathap, K. The effect of injection of hydrocortisone into rabbit calcaneal tendons. J Bone Joint Surg Br. 1972; 54(4):729–34.Google ScholarPubMed
Robertson, VJ, Baker, KG. A review of therapeutic ultrasound: effectiveness studies. Phys Ther. 2001; 81(7):1339–50.CrossRefGoogle ScholarPubMed
Den Hartog, BD. Flexor hallucis longus transfer for chronic Achilles tendonosis. Foot Ankle Int. 2003; 24(3):233–7.Google Scholar
Paavola, M, Kannus, P, Orava, S, Pasanen, M, Järvinen, M. Surgical treatment for chronic Achilles tendinopathy: a prospective seven month follow up study. Br J Sports Med. 2002; 36(3):178–82.CrossRefGoogle ScholarPubMed
Nelen, G, Martens, M, Burssens, A. Surgical treatment of chronic Achilles tendinitis. Am J Sports Med. 1989; 17(6):754–9.CrossRefGoogle ScholarPubMed
Paavola, M, Orava, S, Leppilahti, J, Kannus, P, Järvinen, M. Chronic Achilles tendon overuse injury: complications after surgical treatment, an analysis of 432 consecutive patients. Am J Sports Med. 2000; 28(1):7782.CrossRefGoogle ScholarPubMed
Maffulli, N, Testa, V, Capasso, G, Bifulco, G, Binfield, PM. Results of percutaneous longitudinal tenotomy for Achilles tendinopathy in middle- and long-distance runners. Am J Sports Med. 1997; 25(6):835–40.CrossRefGoogle ScholarPubMed
Steenstra, F, van Dijk, CN. Achilles tendoscopy. Foot Ankle Clin. 2006; 11(2):429–38.Google Scholar
Pearce, CJ, Carmichael, J, Calder, JD. Achilles tendinoscopy and plantaris tendon release and division in the treatment of non-insertional Achilles tendinopathy. Foot Ankle Surg. 2012; 18(2):124–7.CrossRefGoogle ScholarPubMed
Duthon, VB, Lübbeke, A, Duc, SR, Stern, R, Assal, M. Noninsertional Achilles tendinopathy treated with gastrocnemius lengthening. Foot Ankle Int. 2011; 32(4):375–9.CrossRefGoogle ScholarPubMed
Gurdezi, S, Kohls-Gatzoulis, J, Solan, MC. Results of proximal medial gastrocnemius release for Achilles tendinopathy. Foot Ankle Int. 2013; 34(10):1364–9.Google Scholar
Johnson, MD, Alvarez, RG. Nonoperative management of retrocalcaneal pain with AFO and stretching regimen. Foot Ankle Int. 2012; 33(7):571–81.Google Scholar
Wiegerinck, JI, Kerkhoffs, GM, van Sterkenburg, MN, Sierevelt, IN, van Dijk, CN. Treatment for insertional Achilles tendinopathy: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2013; 21(6):1345–55.CrossRefGoogle ScholarPubMed
Jonsson, P, Alfredson, H, Sunding, K, Fahlström, M, Cook, J. New regimen for eccentric calf-muscle training in patients with chronic insertional Achilles tendinopathy: results of a pilot study. Br J Sports Med. 2008; 42(9):746–9.Google Scholar
Rasmussen, S, Christensen, M, Mathiesen, I, Simonson, O. Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. Acta Orthop 2008; 79(2):249–56.Google Scholar
Furia, JP. High-energy extracorporeal shock wave therapy as a treatment for insertional Achilles tendinopathy. Am J Sports Med. 2006; 34(5):733–40.CrossRefGoogle ScholarPubMed
Al-Abbad, H, Simon, JV. The effectiveness of extracorporeal shock wave therapy on chronic Achilles tendinopathy: a systematic review. Foot Ankle Int. 2013; 34(1):3341.Google Scholar
Ryan, M, Wong, A, Taunton, J. Favorable outcomes after sonographically guided intratendinous injection of hyperosmolar dextrose for chronic insertional and midportion Achilles tendinosis. AJR Am J Roentgenol. 2010; 194(4):1047–53.CrossRefGoogle ScholarPubMed
Öhberg, L, Alfredson, H. Sclerosing therapy in chronic Achilles tendon insertional pain-results of a pilot study. Knee Surg Sports Traumatol Arthrosc. 2003; 11(5):339–43.CrossRefGoogle ScholarPubMed
Monto, RR. Platelet rich plasma treatment for chronic Achilles tendinosis. Foot Ankle Int. 2012; 33(5):379–85.Google Scholar
Shibuya, N, Thorud, JC, Humphers, JM, Devall, JM, Jupiter, DC. Is percutaneous radiofrequency coblation for treatment of Achilles tendinosis safe and effective? J Foot Ankle Surg. 2012; 51(6):767–71.Google Scholar
Ortmann, FW, McBryde, AM. Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis. Foot Ankle Int. 2007; 28(2):149.CrossRefGoogle ScholarPubMed
Zadek, I. An operation for the cure of achillobursitis. Am J Surg. 1939; 43(2):542–6.Google Scholar
Calder, JD, Saxby, TS. Surgical treatment of insertional Achilles tendinosis. Foot Ankle Int. 2003; 24(2):119–21.CrossRefGoogle ScholarPubMed
Pilson, H, Brown, P, Stitzel, J, Scott, A. Single-row versus double-row repair of the distal Achilles tendon: a biomechanical comparison. J Foot Ankle Surg. 2012; 51(6):762–6.CrossRefGoogle ScholarPubMed
Nunley, JA, Ruskin, G, Horst, F. Long-term clinical outcomes following the central incision technique for insertional Achilles tendinopathy. Foot Ankle Int. 2011; 32(9):850–5.Google Scholar
Tashjian, RZ, Hur, J, Sullivan, RJ, Campbell, JT, Digiovanni, CW. Flexor hallucis longus transfer for repair of chronic Achilles tendinopathy. Foot Ankle Int. 2003; 24(9):673–6.Google Scholar
Wagner, E, Gould, JS, Kneidel, M, Fleisig, GS, Fowler, R. Technique and results of Achilles tendon detachment and reconstruction for insertional Achilles tendinosis. Foot Ankle Int. 2006; 27(9):677–84.Google Scholar
DeVries, JG, Summerhays, B, Guehlstorf, DW. Surgical correction of Haglund’s triad using complete detachment and reattachment of the Achilles tendon. J Foot Ankle Surg. 2009; 48(4):447–51.CrossRefGoogle ScholarPubMed

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