Good outcome after stripping the plantaris tendon in patients with chronic mid-portion Achilles tendinopathy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Maayke N. van Sterkenburg • Gino M. M. J. Kerkhoffs • C. Niek van Dijk
- چاپ و سال / کشور: 2011
Description
Purpose Achilles tendinopathy is a problem that is generally difficult to treat. The pain is frequently most prominent on the medial side of the mid-portion of the tendon, where the plantaris tendon is running parallel to the Achilles tendon. The purpose of this study was to assess whether excision of the plantaris tendon would relieve symptoms. Methods Three patients with pain and stiffness at the mid-portion of the Achilles tendon were treated by excision of the plantaris tendon. Preoperatively, these patients experienced recognizable tenderness on palpation of the medial side of the mid-portion of the Achilles tendon with localized nodular thickening at 4–7 cm proximal to the insertion. MRI indicated Achilles tendinopathy with the involvement of the plantaris tendon. Results The plantaris tendon was bluntly retrieved and excised with a tendon stripper through a 4-cm incision in the proximal calf. We report a good-to-excellent outcome of this novel procedure in three patients with chronic midportion Achilles tendinopathy Conclusion The medial pain might be based on the involvement of the plantaris tendon in the process. Level of evidence IV.
Knee Surg Sports Traumatol Arthrosc (2011) 19:1362–1366 DOI 10.1007/s00167-011-1514-0 Received: 2 June 2010 / Accepted: 12 April 2011 / Published online: 4 May 2011
