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No normalisation of the tendon structure and thickness after intratendinous surgery for chronic painful midportion Achilles tendinosis.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
2009 (English)In: British journal of sports medicine, ISSN 1473-0480, Vol. 43, no 12, 948-9 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To characterise Achilles tendon structure and thickness a minimum of 8 years after intra-tendinous surgery. Material and METHODS: Fourteen patients (16 tendons; 9 men and 5 women, mean age 43 years, range 27-55) surgically treated (intra-tendinous surgery) for chronic painful midportion Achilles tendinosis, were followed with clinical examination and grey-scale ultrasonography for a minimum of 8 years (range 8-16 years, mean 13 years). RESULTS: All patients were satisfied with the result of surgery and were active in Achilles tendon loading activities without restrictions. In all operated tendons, structural abnormalities remained and tendons remained thicker than normal tendons. CONCLUSIONS: Resection of tendinosis is associated with persistent structural abnormalities and thickening of the tendon 13 years after surgery, despite successful clinical outcomes.

Place, publisher, year, edition, pages
2009. Vol. 43, no 12, 948-9 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-26614DOI: 10.1136/bjsm.2008.050955PubMedID: 18927167OAI: oai:DiVA.org:umu-26614DiVA: diva2:272733
Available from: 2009-10-16 Created: 2009-10-16 Last updated: 2013-02-21

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Alfredson, HåkanZeisig, EvaFahlström, Martin

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