US and CD-guided surgical scraping and plantaris tendon removal for midportion Achilles tendinopathy: -a one year follow up
Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Treatment with Ultrasound (US) and Color Doppler (CD)-guided surgical scraping has shown good short-term clinical results in patients with chronic painful midportion Achilles tendinopathy. The objetives was to prospectively follow the patients 1-year after surgery. Sixty-four tendons in 47 patients (28 men and 19 women, mean age 52 +/-12 years) on different activity levels were operated with US+CD-guided surgical scraping, 17 bilaterally. In 43/64 tendons there was also removal of the plantaris tendon. Questionnaires evaluating activity level, VAS for pain during activity, satisfaction with treatment result, improvement after surgery and the SF-36 score (quality of life), were used before and 1-year after surgery. At the one year follow up, the median VAS for pain during tendon loading activity had decreased from 67 (95% CI 61-73) before surgery to 10,5 (95% CI 5-16) after surgery (p<0.001) All patients were satisfied with the result and had returned to full tendon loading activity. There were no complications. The SF-36 score had improved significantly, both physical and psychological parameters. In conclusion the 1-year perspective, US+CD-guided surgical scraping, often combined with plantaris tendon removal, seems to be a good treatment for patients with chronic painful midportion Achilles tendinopathy.
Place, publisher, year, edition, pages
2013. , 12 p.
Tendinopathy, Achilles midportion tendinopathy
IdentifiersURN: urn:nbn:se:umu:diva-82776OAI: oai:DiVA.org:umu-82776DiVA: diva2:663178
Sports Medicine Umeå
Sports Science Programme, Sports Medicine and Coaching
Alfredson, Håkan, Professor
Malm, Christer, Universitetslektor