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https://www.readbyqxmd.com/read/28553748/mini-review-toxic-tendinopathy
#1
Brad Bolon
Toxic tendinopathy is a rare but reproducible complication in humans, given agents of four drug classes: aromatase inhibitors, fluoroquinolone antibiotics, glucocorticoids (long-term regimens), and statins. Toxic tendinopathy in humans has been linked less consistently to treatment with anabolic steroids, antiretroviral agents (mainly protease inhibitors), metalloproteinase inhibitors (MMPI), and isotretinoin. Classic drug-induced tendinopathies appear as "tendinosis" (i.e., progressive tendon degeneration without inflammation), although cases associated with aromatase inhibitors exhibit mainly tenosynovitis...
January 1, 2017: Toxicologic Pathology
https://www.readbyqxmd.com/read/28495412/radiofrequency-microdebridement-versus-surgical-decompression-for-achilles-tendinosis-a-randomized-controlled-trial
#2
Rory J M Morrison, Timothy M Brock, Mike R Reed, Scott D Muller
Achilles tendinosis is primarily managed nonoperatively with activity modification and physiotherapy, although surgery can be required. This has classically involved surgical decompression of the Achilles tendon, although the use of radiofrequency microdebridement has been suggested as a novel minimally invasive alternative. We present a randomized controlled trial comparing radiofrequency microdebridement using the Topaz(®) microdebrider wand and traditional surgical decompression. All patients with Achilles tendinosis referred to a single surgeon and meeting the inclusion criteria were invited to participate in our single-blinded, randomized controlled study...
July 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28257670/noninsertional-achilles-tendinopathy-pathologic-background-and-clinical-examination
#3
REVIEW
Mindi Feilmeier
The term tendinopathy includes a series of pathologies, all of which have a combination of pain, swelling, and impaired performance. The terms tendinosis, tendinitis and peritendinitis are all within the main heading of tendinopathy; this terminology provides a more accurate understanding of the condition and highlights the uniformity of clinical findings while distinguishing the individual histopathological findings of each condition. Understanding the clinical features and the underlying histopathology leads to a more accurate clinical diagnosis and subsequent treatment selection...
April 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28203592/suture-only-repair-versus-suture-anchor-augmented-repair-for-achilles-tendon-ruptures-with-a-short-distal-stump-a-biomechanical-comparison
#4
Michael A Boin, Matthew A Dorweiler, Christopher J McMellen, Gregory C Gould, Richard T Laughlin
BACKGROUND: Chronic noninsertional Achilles tendinosis can result in an acute Achilles tendon rupture with a short distal stump. In such tendon ruptures, there is a limited amount of adequate tissue that can hold suture, thus presenting a challenge for surgeons who elect to treat the rupture operatively. HYPOTHESIS: Adding suture anchors to the repair construct may result in biomechanically stronger repairs compared with a suture-only technique. STUDY DESIGN: Controlled laboratory study...
January 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28203584/plantaris-excision-reduces-pain-in-midportion-achilles-tendinopathy-even-in-the-absence-of-plantaris-tendinosis
#5
James D F Calder, Joanna M Stephen, C Niek van Dijk
BACKGROUND: It is becoming increasingly apparent that the plantaris can contribute to symptoms in at least a subset of patients with midportion Achilles tendinopathy. However, the nature of its involvement remains unclear. PURPOSE: To determine whether excised plantaris tendons from patients with midportion Achilles tendinopathy display tendinopathic changes and whether the presence of such changes affect clinical outcomes. STUDY DESIGN: Case series; Level of evidence, 4...
December 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27974984/technical-innovation-case-report-ultrasound-guided-prolotherapy-injection-for-insertional-achilles-calcific-tendinosis
#6
Benjamin K Buchanan, Jesse P DeLuca, Kyle P Lammlein
We describe the use of ultrasound guidance for hyperosmolar dextrose (prolotherapy) injection of the distal calcaneal tendon specifically just anterior to identified enthesophytes in patients with insertional Achilles calcific tendinosis refractory to conservative treatment. This specific technique has not to our knowledge been described or used in literature previously.
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27726748/ct-and-mr-imaging-of-the-postoperative-ankle-and-foot
#7
Gary M LiMarzi, Kurt F Scherer, Michael L Richardson, David R Warden, Christopher W Wasyliw, Jack A Porrino, Christopher R Pettis, Gideon Lewis, Christopher C Mason, Laura W Bancroft
A variety of surgical procedures exist for repair of both traumatic and degenerative osseous and soft-tissue pathologic conditions involving the foot and ankle. It is necessary for the radiologist to be familiar with these surgical procedures, so as to assess structural integrity, evaluate for complicating features, and avoid diagnostic pitfalls. Adequate interpretation of postoperative changes often requires access to surgical documentation to evaluate not only the surgery itself but the expected timeline for resolution of normal postoperative changes versus progressive disease...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27723374/comparison-of-clinical-efficacy-among-endoscopy-assisted-radio-frequency-ablation-extracorporeal-shockwaves-and-eccentric-exercises-in-treatment-of-insertional-achilles-tendinosis
#8
Min Wei, Yujie Liu, Zhongli Li, Zhigang Wang
BACKGROUND: We sought to compare clinical efficacy among endoscopy-assisted radio-frequency ablation under local anesthesia, extracorporeal shockwaves (ESWs), and eccentric exercises in treating insertional Achilles tendinosis. METHODS: In this retrospective study, 78 patients diagnosed as having unilateral insertional Achilles tendinosis were enrolled. These participants underwent endoscopy-assisted radio-frequency ablation, ESWs, and eccentric calf muscle exercises between March 1, 2006, and February 28, 2011...
October 10, 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27644578/efficacy-of-achilles-suture-bridge-technique-for-insertional-achilles-tendinosis-in-an-obese-and-athletic-patient
#9
Kazuaki Mineta, Naoto Suzue, Tetsuya Matsuura, Koichi Sairyo
Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). A diagnosis of insertional Achilles tendinosis was made. Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27600485/return-to-sport-and-physical-activity-after-calcaneoplasty-for-insertional-achilles-tendinosis
#10
Sean Lai Wei Hong, Camelia Tang Qian Ying, Lynn Thwin, Gowreeson Thevendran
The primary aim of the present study was to examine the time required and the ability of a consecutive series of patients undergoing open calcaneoplasty with reattachment of the Achilles tendon to return to their preoperative level of sporting activity. The secondary aim was to evaluate the functional outcomes and complication profile of this procedure. Open calcaneoplasty was performed on 22 feet (14 left [63.6%] and 8 right [36.4%]) in 22 consecutive patients, with a mean age of 55.28 ± 9.17 years. The mean postoperative follow-up time was 21...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27331038/different-distributions-of-operative-diagnoses-for-achilles-tendon-overuse-injuries-in-italian-and-finnish-athletes
#11
Kristian Johansson, Lasse Lempainen, Janne Sarimo, Tiina Laitala-Leinonen, Sakari Orava
BACKGROUND: the origin of chronic Achilles tendinopathy (AT) is currently unclear and epidemiological factors, such as ethnicity, may be associated. METHODS: intraoperative findings from the treatment of 865 Finnish and 156 Italian athletic patients with chronic Achilles tendon related pain were evaluated, retrospectively. The mean age was 34 years (range, 18 to 65 years) in the Finnish and 29 years (range, 17-63 years) in the Italian patients. In total, 786 patients were males and 226 females of which 84 and 87% Finnish, respectively...
January 2016: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/27330704/high-power-laser-for-treatment-of-achilles-tendinosis-a-single-blind-randomized-placebo-controlled-clinical-study
#12
Anders Mårdh, Iréne Lund
INTRODUCTION: Pain in the Achilles tendon during loading is a very common condition. Conservative treatments, such as low level laser therapy (LLLT) have been reported to give varying results. Recently, a new laser treatment technique, high power laser treatment (HPLT) (Swiss DynaLaser®), was introduced in Scandinavia, but has not, to our knowledge, been systematically tested before. The objective of this study was to evaluate the effects of HPLT compared to placebo HPLT in rated pain and assessed pain threshold in patients with chronic Achilles tendinosis...
2016: Journal of Lasers in Medical Sciences
https://www.readbyqxmd.com/read/27311649/ultrasound-diagnosis-and-percutaneous-treatment-of-achilles-tendon-tethering-a-case-series
#13
Lulu He, Jason Genin, Patricia Delzell
The purpose of this article is to report 3 cases of Kager's fat pad scarring and tethering to the deep surface of the Achilles tendon in patients with Achilles tendinosis symptomatology. The 3 patients were diagnosed sonographically by the use of a dynamic maneuver we described and named the "Kager's squeeze" technique. The key finding for diagnosis is the deformation and bowing of the deep fibers of the Achilles tendon during dynamic squeezing of Kager's fat pad. After diagnosis, the patients were treated with ultrasound-guided hydrodissection and scar release to restore normal motion between Kager's fat pad and the Achilles tendon...
September 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26941162/peroneal-tendon-abnormalities-on-routine-magnetic-resonance-imaging-of-the-foot-and-ankle
#14
Joseph T O'Neil, David I Pedowitz, Yehuda E Kerbel, Jason L Codding, Adam C Zoga, Steven M Raikin
BACKGROUND: Abnormalities of the peroneal tendons can frequently be identified on routine MRI of the foot and ankle. Previous studies in the orthopedic literature have discussed the prevalence of abnormal MRI findings in asymptomatic patients, most notably with regards to the spine and shoulder. The purpose of this study was to determine the prevalence of abnormal findings of the peroneal tendons on MRI in asymptomatic individuals. METHODS: We retrospectively reviewed all foot and ankle MRIs from 2 independent time periods that were either performed or reviewed at our institution...
July 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26688993/achilles-tendinitis
#15
REVIEW
Richard Eickler, Stephen J Pomeranz
Achilles tendinitis is a common etiology of heel pain, which is a common patient complaint. Achilles tendinitis can be classified into noninsertional tendinosis and insertional tendinitis on the basis of clinical features, radiologic signs, and pathologic findings. Magnetic resonance imaging (MRI) allows classification and reveals associated findings, including retrocalcaneal bursitis, paratendinitis, and paratenonitis. Furthermore, MRI may not only confirm findings of Achilles tendinitis but also diagnose other etiologies of heel pain...
2015: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/26605756/t2-relaxation-time-in-achilles-tendinosis-and-controls-and-its-correlation-with-clinical-score
#16
Anna Gärdin, Pawel Rasinski, Johan Berglund, Adel Shalabi, Helene Schulte, Torkel B Brismar
PURPOSE: To investigate if the T2 * of Achilles tendons can discriminate between chronic Achilles tendinosis and healthy controls; to correlate with clinical score; to evaluate its short-term repeatability; and to estimate minimal detectable change. MATERIALS AND METHODS: Twenty patients, with chronic mid-portion Achilles tendinosis, and 10 controls without history of Achilles tendon symptoms, were examined with a 3T MR scanner with a 3D flash ultrashort time to echo sequence with five different echo times...
June 2016: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/26535293/macroscopic-anomalies-and-pathological-findings-in-and-around-the-achilles-tendon-observations-from-1661-operations-during-a-40-year-period
#17
Kristian Johansson, Lasse Lempainen, Janne Sarimo, Tiina Laitala-Leinonen, Sakari Orava
BACKGROUND: Nonsurgical treatments for chronic Achilles tendinopathy (AT) results in unpredictable success rates. Surgical treatment may be chosen as reports show mostly encouraging but variable success rates depending on the pathology. The distribution of surgically confirmed pathologies in AT is largely unknown. PURPOSE: To ascertain the distributions of macroscopically observed anomalies in participants undergoing surgical treatment for chronic AT. STUDY DESIGN: Case series; Level of evidence, 4...
December 2014: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/26491722/amniotic-tissues-for-the-treatment-of-chronic-plantar-fasciosis-and-achilles-tendinosis
#18
Bruce Werber
Introduction. Allogeneic amniotic tissue and fluid may be used to treat chronic plantar fasciosis and Achilles tendinosis. This innovative approach involves delivering a unique allograft of live human cells in a nonimmunogenic structural tissue matrix to treat chronic tendon injury. These tissues convey very positive regenerative attributes; procurement is performed with maternal consent during elective caesarian birth. Materials and Methods. In the present investigation all patients were unresponsive to multiple standard therapies for a minimum of 6 months and were treated with one implantation of PalinGen SportFLOW around the plantar fascia and/or around the Achilles paratenon...
2015: Journal of Sports Medicine (Hindawi Publishing Corporation)
https://www.readbyqxmd.com/read/26361756/is-radial-extracorporeal-shock-wave-therapy-rewst-combined-with-supervised-exercises-se-more-effective-than-sham-reswt-and-se-in-patients-with-subacromial-shoulder-pain-study-protocol-for-a-double-blind-randomised-sham-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Elisabeth Kvalvaag, Jens Ivar Brox, Kaia Beck Engebretsen, Helene Lundgaard Søberg, Erik Bautz-Holter, Cecilie Røe
BACKGROUND: Subacromial shoulder pain is a common complaint. Radial Extracorporeal Shock Wave Therapy (rESWT) has being increasingly used to treat calcific and non-calcific tendinosis, although there is no evidence of the effectiveness of rESWT in non-calcific tendinosis of the rotator cuff. A randomised single blind study showed that the short-term effect of supervised exercises (SE) was significantly better than rESWT on subacromial shoulder pain, but both groups improved. In a clinical trial on achilles tendinopathy rESWT improved the effectiveness of treatment with eccentric loading...
September 11, 2015: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/26261788/the-molecular-systemic-and-local-effects-of-intra-tendinous-injection-of-platelet-rich-plasma-in-tendinosis-preliminary-results-on-a-rat-model-with-elisa-method
#20
Benjamin Dallaudiere, Liliane Louedec, Marie Paule Jacob Lenet, Lionel Pesquer, Elvind Blaise, Anne Perozziello, Jean Baptiste Michel, Maryse Moinard, Philippe Meyer, Jean Michel Serfaty
PURPOSE: the aim of our study was thus to quantify the effect of Platelet Rich Plasma (PRP) injection on systemic and local growth factors and to identify molecular markers in a rat model of patellar and Achilles tendinosis treated with PRP. MATERIAL AND METHOD: twenty two rats were used for the study. Two healthy rats were used as control (T-). We induced tendinosis (T+) in 20 rats (80 tendons by injecting under ultrasonography (US) guidance Collagenase 1® (day 0 = D0, patellar=40 and Achilles=40)...
April 2015: Muscles, Ligaments and Tendons Journal
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