IJCM  Vol.4 No.6 A , June 2013
Achilles Tendoscopy for Non-Insertional Tendinopathy

Achilles tendinopathy is a very common pathology, especially in the athletic population. Its etiology is multifactorial and the underlying pathophysiology is still not fully understood. For non-insertional tendinopathy is increasingly recognized the influence of paratendinopathy in the genesis of patients symptoms, so various surgical treatments have been accordingly developed; they are indicated when conservative treatment fails. The Achilles tendoscopy is one of these techniques, it has the advantages of minimally invasive surgery, resulting in a low complication rate and good functional results. In relation to this procedure we review the surgical technique, which is exemplified by the case of a high performance athlete treated satisfactorily.

Cite this paper: G. Carcuro, L. Lagos, H. Henríquez, N. Cuchacovich, M. Pellegrini and C. Bastías, "Achilles Tendoscopy for Non-Insertional Tendinopathy," International Journal of Clinical Medicine, Vol. 4 No. 6, 2013, pp. 1-4. doi: 10.4236/ijcm.2013.46A001.

[1]   P. Phisitkul, “Endoscopic Surgery of the Achilles Tendon,” Current Reviews in Musculoskeletal Medicine, Vol. 5, No. 2, 2012, pp. 156-163. doi:10.1007/s12178-012-9115-1

[2]   G. Murphy, “Surgical Treatment of Non-Insertional Achilles Tendinitis,” Foot and Ankle Clinics of North America, Vol. 14, No. 4, 2009, pp. 651-661. doi:10.1016/j.fcl.2009.08.008

[3]   M. Krahe and G. Berlet, “Achilles Tendon Ruptures, Rerupture with Revision Surgery, Tendinosis, and Insertional Disease,” Foot and Ankle Clinics of North America, Vol. 14, No. 4, 2009, pp. 247-275. doi:10.1016/j.fcl.2009.04.003

[4]   G. Puddu, E. Ippolito and F. Postachini, “A Classification of Achilles Tendon Disease,” The American Journal of Sports Medicine, Vol. 4, No. 4, 1976, pp. 145-150. doi:10.1177/036354657600400404

[5]   N. Maffulli, U. Longo, F. Oliva, M. Ronga and V. Denaro, “Minimally Invasive Surgery of the Achilles Tendon,” Orthopedic Clinics of North America, Vol. 40, No. 4, 2009, pp. 491-498. doi:10.1016/j.ocl.2009.05.006

[6]   M. Van Sterkenburg and C. Niek van Dijk, “Mid-Portion Achilles Tendinopathy: Why Painful? An Evidence-Based Philosophy,” Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 19, 2011, pp. 1367-1375. doi:10.1007/s00167-011-1535-8

[7]   J. Lake and S. Ishikawa, “Conservative Treatment of Achilles Tendinopathy: Emerging Techniques,” Foot and Ankle Clinics of North America, Vol. 14, No. 4, 2009, pp. 663-674. doi:10.1016/j.fcl.2009.07.003

[8]   R. Magnussen, W. Dunn and A. Thomson, “Nonoperative Treatment of Midportion Achilles Tendinopathy: A Systematic Review,” Clinical Journal of Sport Medicine, Vol. 19, No. 1, 2009, pp. 54-64. doi:10.1097/JSM.0b013e31818ef090

[9]   F. Steenstra and C. Niek van Dijk, “Achilles Tendoscopy,” Foot and Ankle Clinics, Vol. 11, No. 2, 2006, pp. 429-438. doi:10.1016/j.fcl.2006.02.001

[10]   C. Pearce, J. Carmichael and J. Calder, “Achilles Tendinoscopy and Plantaris Tendon Release and Division in the Treatment of Non-Insertional Achilles Tendinopathy,” Journal of Foot and Ankle Surgery, Vol. 18, No. 2, 2012, pp. 124-127. doi:10.1016/j.fas.2011.04.008