Ultrasound and Doppler-guided mini-surgery to treat midportion Achilles tendinosis: Results of a large material and a randomised study comparing two scraping techniques

British Journal of Sports Medicine

Volumn 45, Issue 5, 2011, Pages 407-410

  Alfredson, Hakan ^a  

^a UMEÅ UNIVERSITY   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ACHILLES TENDON; ADULT; AGED; ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOPPLER FLOWMETRY; ENDOSCOPIC ECHOGRAPHY; FEMALE; HUMAN; MALE; MIDDLE AGED; NEEDLE; PHYSIOLOGY; POSTOPERATIVE PAIN; RANDOMIZED CONTROLLED TRIAL; RECREATION; SPORT; TENDINITIS; WALKING;

ACHILLES TENDON; ADULT; AGED; FEMALE; HUMANS; MALE; MIDDLE AGED; NEEDLES; PAIN, POSTOPERATIVE; RECREATION; SPORTS; TENDINOPATHY; ULTRASONOGRAPHY, DOPPLER; ULTRASONOGRAPHY, INTERVENTIONAL; WALKING; YOUNG ADULT;

EID: 79952534576     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsm.2010.081216     Document Type: Article

References (15)

1. Fahlström M, Jonsson P, Lorentzon R, et al. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc 2003;11:327-33. (Pubitemid 38251123)
2. 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 ;3 6:173-5. (Pubitemid 34651933)
3. 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. (Pubitemid 41217981)
4. Leadbetter WB, Mooar PA, Lane GJ, et al. The surgical treatment of tendinitis. Clinical rationale and biologic basis. Clin Sports Med 1992;11:679-712.
5. Nelen G, Martens M, Burssens A. Surgical treatment of chronic Achilles tendinitis. Am J Sports Med 1989;17:754-9. (Pubitemid 20029694)
6. Åström M. On the nature and etiology of chronic achilles tendinopathy [dissertation]. Lund, Sweden: University of Lund, 1997.
7. Tallon C, Coleman BD, Khan KM, et al. Outcome of surgery for chronic Achilles tendinopathy. A critical review. Am J Sports Med 2001;29:315-20. (Pubitemid 32488412)
8. Alfredson H, Ohberg L, Zeisig E, et al. Treatment of midportion Achilles tendinosis: Similar clinical results with US and CD-guided surgery outside the tendon and sclerosing polidocanol injections. Knee Surg Sports Traumatol Arthrosc 2007;15:1504-9.
9. 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. (Pubitemid 33684355)
10. 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. (Pubitemid 38251124)
11. Andersson G, Danielson P, Alfredson H, et al. Nerve-related characteristics of ventral paratendinous tissue in chronic Achilles tendinosis. Knee Surg Sports Traumatol Arthrosc 2007;15:1272-9.
12. Aström M, Gentz CF, Nilsson P, et al. Imaging in chronic achilles tendinopathy: A comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skeletal Radiol 1996;25:615-20. (Pubitemid 26345743)
13. Weinberg EP, Adams MJ, Hollenberg GM. Color Doppler sonography of patellar tendinosis. Am J Roentgenol 1998;171:743-4. (Pubitemid 28406142)
14. Lind B, Ohberg L, Alfredson H. Sclerosing polidocanol injections in mid-portion Achilles tendinosis: Remaining good clinical results and decreased tendon thickness at 2-year follow-up. Knee Surg Sports Traumatol Arthrosc 2006;14:1327-32. (Pubitemid 44800663)
15. Cook JL, Bass SL, Black JE. Hormone therapy is associated with smaller Achilles tendon diameter in active post-menopausal women. Scand J Med Sci Sports 2007;17:128-32.