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US-guided Tenotomy II: Achilles Tendinopathy
"Percutaneous longitudinal ultrasound-guided internal tenotomy is simple, can be performed on an outpatient basis, requires minimal follow-up care, does not hinder further surgery should it be unsuccessful, and, in our experience, has produced no significant complications. It should be considered in the management of chronic Achilles tendinopathy after failure of conservative management."
"However, patients should be advised that, if they suffer from diffuse or multinodular tendinopathy or from pantendinopathy, a formal surgical exploration with stripping of the paratenon and multiple longitudinal tenotomies may be preferable."
(top image from: http://www.clinicalsportsmedicine.com/_images/chapters/28/fig-28_4B.jpg
)from: Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy. Med Sci Sports Exerc. 2002 Apr;34(4):573-80 PMID: 11932562 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=11932562&itool=iconabstr&query_hl=1&itool=pubmed_docsum
Selected Readings:
Results of percutaneous longitudinal tenotomy for Achilles tendinopathy in middle- and long-distance runners. (N Maffulli et al) http://ajs.sagepub.com/cgi/content/abstract/25/6/835
Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar tendinopathy. Medicine & Science in Sports & Exercise. 31(11):1509, November 1999 http://www.ms-se.com/pt/re/msse/abstract.00005768-199911000-00003.htm;jsessionid=FJnLKX1mn4GnVVnsvy7yfpFyW1f2GJhmT29dvDZxT1h3bSfjx2pV!-2083468996!-949856145!8091!-1
 

 

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