Ultrasound guided electrocoagulation in patients with chronic non-insertional Achilles tendinopathy: A pilot study

British Journal of Sports Medicine

Volumn 40, Issue 9, 2006, Pages 761-766

  Boesen, Morten Ilum ^a   Torp Pedersen, S ^b   Koenig, M Juhl ^b   Christensen, R ^b   Langberg, H ^c   Holmich P ^d   Nielsen, M Bachmann ^e   Bliddal, H ^a  

^a Parker Institute   (Denmark)

^b FREDERIKSBERG HOSPITAL   (Denmark)

^c BISPEBJERG HOSPITAL   (Denmark)

^d AMAGER HOSPITAL   (Denmark)

^e Rigshospitalet   (Denmark)

Author keywords

[No Author keywords available]

Indexed keywords

ACHILLES TENDON; ADULT; ARTICLE; CLINICAL ARTICLE; COLOR ULTRASOUND FLOWMETRY; CONTROLLED STUDY; DAILY LIFE ACTIVITY; ELECTROCOAGULATION; FEMALE; FOLLOW UP; HUMAN; MALE; PAIN; PILOT STUDY; SCORING SYSTEM; TENDON LESION; TREATMENT OUTCOME; ULTRASOUND; VASCULARIZATION;

ACHILLES TENDON; ADULT; CHRONIC DISEASE; ELECTROCOAGULATION; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; NEOVASCULARIZATION, PATHOLOGIC; PATIENT SATISFACTION; PILOT PROJECTS; SEVERITY OF ILLNESS INDEX; TENDINOPATHY; TREATMENT OUTCOME; ULTRASONOGRAPHY, DOPPLER, COLOR; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 33748441149     PISSN: 03063674     EISSN: None     Source Type: Journal    
DOI: 10.1136/bjsm.2006.027334     Document Type: Article

References (28)

1. Khan KM, Cook JL, Bonar F, et al. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med 1999;27:393-408.
2. Khan KM, Cook JL, Kannus P, et al. Time to abandon the "tendonitis" myth. BMJ 2002;324:626-7.
3. Terslev L, Torp-Pedersen S, Bang N, et al. Doppler ultrasound findings in healthy wrists and finger joints before and after use of two different contrast agents. Ann Rheum Dis 2005;64:824-7.
4. Terslev L, Torp-Pedersen S, Qvistgaard E, et al. Doppler ultrasound findings in healthy wrists and finger joints. Ann Rheum Dis 2004;63:644-8.
5. Ohberg L, Lorentzon R, Alfredson H. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc 2001;9:233-8.
6. Silvestri E, Biggi E, Molfetta L, et al. Power Doppler analysis of tendon valorization. Int J Tissue React 2003;25:149-58.
7. Reiter M, Ulreich N, Dirisamer A, et al. Colour and power Doppler sonography in symptomatic Achilles tendon disease. Int J Sports Med 2004;25:301-5.
8. Richards PJ, Win T, Jones PW. The distribution of microvascular response in Achilles tendonopathy assessed by colour and power Doppler. Skel Radiol 2005;34:336-42.
9. Martinoli C, Pretolesi F, Crespi G, et al. Power Doppler sonography: clinical applications. Eur J Radiol 1998;27(suppl 2):S133-40.
10. Alfredson H, Forsgren S, Thorsen K, et al. Glutamate NMDAR1 receptors localised to nerves in human Achilles tendons. Implications for treatment? Knee Surg Sports Traumatol Arthrosc 2001;9:123-6.
11. Alfredson H, Lorentzon M, Backman S, et al. cDNA-arrays and real-time quantitative PCR techniques in the investigation of chronic Achilles tendinosis. J Orthop Res 2003;21:970-5.
12. Alfredson H, Ohberg L, Forsgren S. Is vasculo-neural ingrowth the cause of pain in chronic Achilles tendinosis? An investigation using ultrasonography and colour Doppler, immunohistochemistry, and diagnostic injections. Knee Surg Sports Traumatol Arthrosc 2003;11:334-8.
13. Ohberg L, Alfredson H. Ultrasound guided sclerosis of neovessels in painful chronic Achilles tendinosis: pilot study of a new treatment. Br J Sports Med 2002;36:173-5.
14. Ohberg L, Alfredson H. Sclerosing therapy in chronic Achilles tendon insertional pain-results of a pilot study. Knee Surg Sports Traumatol Arthrosc 2003;11:339-43.
15. Tosto JP, Cummings J, Medlock V, et al. Microtenotomy using a radiofrequency probe to treat lateral epicondylitis. Arthroscopy 2005;21:851-60.
16. Savoie FH, Field LD. Thermal versus suture treatment of symptomatic capsular laxity. Clin Sports Med 2000;19:63-75.
17. Barret E, Guillonneau B, Cathelineau X, et al. Laparoscopic partial nephrectomy in the pig: comparison of three hemostasis techniques. J Endourol 2001;15:307-12.
18. Clain MR, Baxter DE. Achilles tendinitis. Foot Ankle 1992;13:482-7.
19. Rasmussen OS. Sonography of tendons. Scand J Med Sci Sports 2000;10:360-4.
20. Weinberg EP, Adams MJ, Hollenberg GM. Color Doppler sonography of patellar tendinosis. Am J Roentgenol 1998;171:743-4.
21. Terslev L, Torp-Pedersen S, Qvistgaard E, et al. Spectral Doppler and resistive index. A promising tool in ultrasonographic evaluation of inflammation in rheumatoid arthritis. Acta Radiol 2003;44:645-52.
22. Alfredson H, Ohberg L. Sclerosing injections to areas of neo-vascularisation reduce pain in chronic Achilles tendinopathy: a double-blind randomised controlled trial. Knee Surg Sports Traumatol Arthrosc 2005;13:338-44.
23. Zanetti M, Metzdorf A, Kundert HP, et al. Achilles tendons: clinical relevance of neovascularization diagnosed with power Doppler US. Radiology 2003;227:556-60.
24. Knobloch K, Kraemer R, Lichtenberg A, et al. Achilles tendon and paratendon microcirculation in midportion and insertional tendinopathy in athletes. Am J Sports Med 2006;34:92-97.
25. Boesen MI, Koenig MJ, Torp-Pedersen S, et al. Tendinopathy and Doppler activity: The vascular response of the Achilles tendon to exercise. Scand J Med Sci Sports 2006.
26. Alfredson H, Ohberg L. Neovascularisation in chronic painful patellar tendinosis-promising results after Sclerosing neovessels outside the tendon challenge the need for surgery. Knee Surg Sports Traumatol Arthrosc (in press).
27. Robinson JM, Cook JL, Purdam C, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med 2001;35:335-41.
28. Paoloni JA, Appleyard RC, Murrell GA. The Orthopaedic Research Institute-Ankle Strength Testing System: inter-rater and intra-rater reliability testing. Foot Ankle Int 2002;23:112-17.