Treatment of midportion Achilles tendinosis: Similar clinical results with US and CD-guided surgery outside the tendon and sclerosing polidocanol injections

Knee Surgery, Sports Traumatology, Arthroscopy

Volumn 15, Issue 12, 2007, Pages 1504-1509

  Alfredson, Håkan ^a   Öhberg, Lars ^a   Zeisig, Ewa ^a   Lorentzon, Ronny ^a  

^a UMEÅ UNIVERSITY   (Sweden)

Author keywords

Achilles; Chronic pain; Sclerosing injections; Surgery

Indexed keywords

MACROGOL DERIVATIVE; POLIDOCANOL; SCLEROSING AGENT;

ACHILLES TENDON; ADULT; ARTICLE; CLINICAL TRIAL; DIATHERMY; ECHOGRAPHY; ENDOSCOPIC ECHOGRAPHY; FEMALE; HUMAN; INJECTION; MALE; METHODOLOGY; MIDDLE AGED; PAIN ASSESSMENT; PATIENT SATISFACTION; TENDINITIS; TREATMENT OUTCOME;

ACHILLES TENDON; ADULT; DIATHERMY; FEMALE; HUMANS; INJECTIONS; MALE; MIDDLE AGED; PAIN MEASUREMENT; PATIENT SATISFACTION; POLYETHYLENE GLYCOLS; SCLEROSING SOLUTIONS; TENDINOPATHY; TREATMENT OUTCOME; ULTRASONOGRAPHY; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 36349014937     PISSN: 09422056     EISSN: 14337347     Source Type: Journal    
DOI: 10.1007/s00167-007-0415-8     Document Type: Article

References (16)

1. Öhberg L, Lorentzon R, Alfredson H (2001) Neovsacularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc 9:233-238
2. Alfredson H, Öhberg L, Forsgren S (2003) Is vasculo-neural ingrowth the cause of pain in chronic Achilles tendinosis? An investigation using ultrasonogrphy and colour Doppler, immunohistochemistry, and diagnostic injections. Knee Surg Sports Traumatol Arthrosc 11:334-338
3. Bjur D, Alfredson H, Forsgren S (2005) The innervation pattern of the human Achilles tendon. Studies on the normal and tendinosis tendon using markers for general, sensory and sympathetic innervations. Cell Tissue Res 320:201-206
4. Öhberg L, Alfredson H (2002) Ultrasound guided sclerosing of neovessels in painful chronic Achilles tendinosis: pilot study of a new treatment. Br J Sports Med 36:173-177
5. Alfredson H, Öhberg L (2005) Sclerosing injections to areas of neovascularisation reduce pain in chronic Achilles tendinopathy: a double-blind randomized controlled trial. Knee Surg Sports Traumatol Arthrosc 13:338-344
6. Lind B, Öhberg L, Alfredson H (2006) Sclerosing polidocanol injections in mid-portion Achilles tendinosis: remaining good clinical results and decreased tendon thickness at 2-year follow-up. Knee Surg Sport Traumatol Arthrosc 14:1327-1332
7. Kvist M (1994) Achilles tendon injuries in athletes. Sports Med 18(3):173-201
8. Åström M (1997) On the nature and etiology of chronic Achilles tendinopathy. Dissertation, University of Lund, Lund
9. Alfredson H, Lorentzon R (2000) Chronic Achilles Tendinosis: recommendations for treatment and prevention. A review. Sports Med 29(2):135-146
10. Alfredson H, Pietilä T, Öhberg L et al (1998) Achilles tendinosis and calf musclle strength. The effect of short-term immobilization after surgical treatment. Am J Sports Med 26(2):166-171
11. Maffuli N, Testa V, Capasso G, Bifulco G, Binfield P (1997) Results of percutaneous longitudinal tenotomy for Achilles tendinopathy in middle- and long-distance runners. Am J Sports Med 25(6):835-840
12. Tallon C, Coleman B D, Khan K M, Maffulli N (2001) Outcome of surgery for chronic Achilles tendinopathy. A critical review. Am J Sports Med 29:315-320
13. Conrad P, Malouf GM, Stacey MC (1995) The Australian polidocanol (aethoxysklerol) study. Results at 2 years. Dermatol Surg 21(4):334-336
14. Guex JJ (1993) Indications for the sclerosing agent polidocanol. J Dermatol Surg Oncol 19(10):959-961
15. Andersson G, Danielsson P, Alfredson H, Forsgren S (2006) The arteries in the area targeted with successful sclerosing injections for Achilles tendinosis are under distinct neural control. In: Abstract 10th international conference on orthopaedics, biomechanics, and sports rehabilitation, Assisi, Italy
16. Alfredson H, Öhberg L (2006) Increased intratendinous vascularity in the early period after sclerosing injection treatment in Achilles tendinosis. A healing response? Knee Surg Sports Traumatol Athrosc 14:399-401