Journal ArticleDOI
Chronic Achilles tendon overuse injury: complications after surgical treatment. An analysis of 432 consecutive patients.
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About every 10th patient treated surgically for chronic Achilles tendon overuse injury suffered from a postoperative complication that clearly delayed recovery, however, the majority of patients with a complication healed and returned to their preinjury levels of activity.Abstract:
We analyzed the complications after surgical treatment of Achilles tendon overuse injuries in 432 consecutive patients. The patients underwent a clinical examination 2 weeks, and 1, 2, and 5 months after the surgery. If a complication appeared, the patient was followed up clinically for at least 1 year. There were 46 (11%) complications in the 432 patients: 14 skin edge necroses, 11 superficial wound infections, 5 seroma formations, 5 hematomas, 5 fibrotic reactions or scar formations, 4 sural nerve irritations, 1 new partial rupture, and 1 deep vein thrombosis. Fourteen patients with a complication had reoperations: four patients for skin edge necrosis, two for superficial wound infection, two for seroma formation, one for hematoma formation, two for fibrotic reaction or scar formation, two for sural nerve irritation, and one for a new partial rupture. About every 10th patient treated surgically for chronic Achilles tendon overuse injury suffered from a postoperative complication that clearly delayed rec...read more
Citations
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Journal ArticleDOI
Patellar tendinopathy: some aspects of basic science and clinical management.
TL;DR: Surgical treatment for Achilles tendinopathy usually involves removal of adhesions and degenerated areas and decompression of the tendon by tenotomy or measures that influence the local circulation.
Journal ArticleDOI
Types and epidemiology of tendinopathy.
TL;DR: Empirical studies are important when planning prevention programs for tendon injuries because of individual sport cultures and different sport habits in different countries, national epidemiologic studies are of importance in each individual country.
Journal ArticleDOI
Incidence of midportion Achilles tendinopathy in the general population
S de Jonge,C van den Berg,R J de Vos,H J L van der Heide,Adam Weir,Jan A N Verhaar,Sita M A Bierma-Zeinstra,Johannes L. Tol +7 more
TL;DR: This is the first report on incidence rates of mid-portion Achilles tendinopathy in general practice and it is suggested that the actual incidence might even be higher due to study limitations.
Journal ArticleDOI
Management of Tendinopathy
TL;DR: The mechanical, vascular, neural, and other theories that seek to explain the pathologic process are explored in this article, as is the rationale for surgical intervention.
Journal ArticleDOI
Continued Sports Activity, Using a Pain-Monitoring Model, During Rehabilitation in Patients With Achilles Tendinopathy A Randomized Controlled Study
TL;DR: No negative effects could be demonstrated from continuing Achilles tendon-loading activity, such as running and jumping, with the use of a pain-monitoring model, during treatment and the treatment protocol, which gradually increases the load on the Achilles tendon and calf muscle, demonstrated significant improvements.
References
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Journal ArticleDOI
Operative versus nonoperative treatment of Achilles tendon rupture A prospective randomized study and review of the literature
TL;DR: It is found that operative treatment of acute rupture of Achilles tendons is preferable, but nonoperative treatment is an acceptable alternative.
Journal ArticleDOI
Achilles tendinitis and peritendinitis: Etiology and treatment
TL;DR: The authors speculate that runners are susceptible to Achilles tendinitis with peritendinitis due to micro- trauma produced by the eccentric loading of fatigued muscle, excess pronation producing whipping action of the Achilles tendon, and/or vascular blanching.
Book
Human Tendons: Anatomy, Physiology, and Pathology
Laszlo Jozsa,Pekka Kannus +1 more
TL;DR: Tendon anatomy and physiology biomechanics and development tendon injuries tendons disorders and other diseases diagnostic and treatment facilities in tendon problems and healing.
Journal ArticleDOI
Imaging in chronic achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases
TL;DR: Comparisons of ultrasonography and MRI in chronic achilles tendinopathy with regard to the nature and severity of the lesion suggest these methods give similar information and may have their greatest potential as prognostic instruments.
Journal ArticleDOI
Etiology, Histopathology, and Outcome of Surgery in Achillodynia
Christer Rolf,Tomas Movin +1 more
TL;DR: Surgical treatment was beneficial in most cases, despite a relatively high complication rate, and achillodynia is not always associated with excessive physical activity.