Endoscopic release of Achilles peritenon

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Javier Maquirriain

Abstract

Peritenonitis is the most common cause of achillodynia. When conservative treatment fails, surgical decompression of the Achilles tendon (AT) has achieved high rates of satisfactory results. The aim of this study was to evaluate an alternative endoscopic procedure in Achilles peritenon releasing. We performed endoscopy in nine cadaveric limbs. Three 1-cm portal approaches were performed on the skin overlying the AT area where a slotted cannula was placed subcutaneously. The crural fascia and the peritenon were cut longitudinally using a reverse knife while adhesions were freed. After endoscopy, open exposure failed to disclose any damage to the sural or calcaneal nerve. Endoscopically, the AT was seen throughout its course from the myotendinous junction excepting the distal 2 cm where the tendon is normally attached to the skin. Since the crural fascia and the Achilles peritenon are readily released by endoscopy in cadaveric specimens, findings support this procedure as a valid alternative to treat AT disorders such as peritenonitis.

Citations

Oct 21, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Javier Maquirriain
Mar 17, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hajo ThermannSven Feil
May 31, 2008·Journal of Pediatric Orthopedics. Part B·Jan PoulJaroslava Bajerová
Jan 18, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·B Appy-FedidaE Havet
Dec 17, 2008·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jordi VegaLuis Pérez-Carro
Jun 27, 2006·Foot and Ankle Clinics·Ferry Steenstra, C Niek van Dijk
Feb 4, 2009·The American Journal of Sports Medicine·Jonathan D ReesJill Cook
Sep 12, 2015·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ka-Young ChunDae-Jung Kim

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