PMID: 11932562Apr 5, 2002Paper

Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy

Medicine and Science in Sports and Exercise
Vittorino TestaN Maffulli

Abstract

To report the middle to long-term results of ultrasound-guided percutaneous longitudinal tenotomy of the Achilles tendon Seventy-five athletes with unilateral Achilles tendinopathy underwent ultrasound-guided percutaneous longitudinal tenotomy under local anesthetic infiltration after failure of conservative management. Sixty-three patients were reviewed at least 36 months after the operation (51 +/- 18.2 months). Thirty-five patients were rated excellent, 12 good, 9 fair, and 7 poor. Nine of the 16 patients with a fair or poor result underwent a formal exploration of the Achilles tendon 7-12 months after the index procedure. The operated tendons remained thickened and the ultrasonographic appearance of operated tendons remained abnormal even 8 yr after the operation, without interfering with physical training. Isometric maximal muscle strength and isometric endurance gradually returned to values similar to their contralateral unoperated tendon. 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 c...Continue Reading

References

Jul 1, 1992·The American Journal of Sports Medicine·J KarlssonL Swärd
Jun 1, 1992·British Journal of Sports Medicine·N Maffulli
Jun 1, 1992·British Journal of Sports Medicine·N MaffulliT Beaconsfield
Jul 1, 1991·The American Journal of Sports Medicine·J KarlssonL Peterson
Jan 1, 1990·The Journal of Bone and Joint Surgery. British Volume·J B KingS J Kumar
Jun 1, 1988·British Journal of Sports Medicine·D J DaCruzI Phair
Mar 1, 1986·Sports Medicine·J G Williams
Dec 1, 1986·British Journal of Sports Medicine·S OravaM Hurme
Jan 1, 1985·Sports Medicine·S D WalterC Connolly
Sep 1, 1985·Sports Medicine·P Renström, R J Johnson
Mar 1, 1983·Postgraduate Medicine·W E Garrett
Mar 1, 1983·The American Journal of Sports Medicine·A FerrettiG Puddu
Jun 1, 1982·Acta Orthopaedica Scandinavica·M MartensJ C Mulier
Jan 1, 1994·International Journal of Sports Medicine·T RaatikainenS Orava
Nov 1, 1996·The American Journal of Sports Medicine·H AlfredsonR Lorentzon
Aug 1, 1997·Scandinavian Journal of Medicine & Science in Sports·T MovinC Rolf
Jul 1, 1997·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·K M KhanJ D Wark
Oct 6, 1997·Foot & Ankle International·C Rolf, T Movin
Dec 16, 1997·The American Journal of Sports Medicine·N MaffulliP M Binfield
Jan 16, 1998·British Journal of Sports Medicine·S W WaterstonS W Ewen
Dec 16, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·N MaffulliG Puddu
Nov 24, 1999·The American Journal of Sports Medicine·N MaffulliJ B King
Dec 10, 1999·Medicine and Science in Sports and Exercise·V TestaG Bifulco
Jun 8, 2000·The American Journal of Sports Medicine·A S PanniN Maffulli
Nov 1, 1980·The Physician and Sportsmedicine·J M Glick

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Citations

May 14, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maayke N van Sterkenburg, C Niek van Dijk
Mar 3, 2015·Clinics in Orthopedic Surgery·Roberto Gabriel L Lopez, Hong-Geun Jung
Feb 26, 2016·Journal of Experimental Orthopaedics·John J WilsonNicole Kamps
May 1, 2020·Foot & Ankle International·Ian JarinJ Turner Vosseller
Jul 9, 2008·Disability and Rehabilitation·Umile Giuseppe LongoNicola Maffulli
Feb 4, 2011·Foot & Ankle International·Nicola MaffulliVincenzo Denaro
Sep 7, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francesco BenazzoMatteo Marullo
Jun 26, 2014·Journal of Clinical Ultrasound : JCU·Abdel-Rahman AlyHaron Obaid
Sep 15, 2009·British Journal of Hospital Medicine·Ali Abbassian, Rashid Khan
Jan 16, 2007·Journal of the American Podiatric Medical Association·Matthew B Werd
Feb 13, 2013·Foot & Ankle International·Nathan J KiewietJohn G Anderson
Dec 18, 2012·Evidence-based Complementary and Alternative Medicine : ECAM·Ming-Ta LinMu-Jung Kao
Jul 5, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Richard DumaisMathieu Bélanger
Dec 3, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andrea YeoSunderarajan Jayaraman
Sep 14, 2016·Foot & Ankle International·Marius MolundKjetil Harald Hvaal
Sep 27, 2020·International Journal of Molecular Sciences·Christelle Darrieutort-LaffiteBenoit Le Goff
Sep 13, 2008·Foot & Ankle International·Aaron T ScottMark E Easley
Nov 5, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ruben ZwiersC Niek van Dijk
Jul 12, 2013·The American Journal of Sports Medicine·Nicola MaffulliAngelo Del Buono
Nov 17, 2009·Foot & Ankle International·Xan F CourvillePaul J Hecht
Nov 3, 2009·The Journal of Bone and Joint Surgery. British Volume·A W M MitchellJ C Healy
Nov 24, 2004·Clinics in Podiatric Medicine and Surgery·Michael S Aronow
Jun 1, 2005·Foot and Ankle Clinics·Anand M VoraNicola Maffulli
Dec 17, 2008·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jordi VegaLuis Pérez-Carro

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