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T&O Surgery > Achilles Tendinopathy > Flashcards

Achilles Tendinopathy Flashcards

1
Q

What are the types of Achilles tendinopathy?

A

Insertion tendinopathy
2cm within insertion on calcaneus

Mid-portion tendinopathy
2-6cm above insertion point

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2
Q

What are the risk factors of Achilles tendinopathy?

A

Sports that stress Achilles e.g. basketball, tennis etc

Inflammatory conditions

Diabetes

Raised cholesterol

Fluoroquinolone antibiotics

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3
Q

What are two examples of fluoroquinolone antibiotics?

A

Ciprofloxacin

Levofloxacin

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4
Q

How do Achilles tendinopathies present?

A

Gradual onset

Pain/aching in Achilles tendon or heel with activity

Stiffness

Tenderness

Swelling

Nodularity on palpation of the tendon

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5
Q

How is Achilles tendon rupture excluded?

A

Simmonds’s calf squeeze test
USS

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6
Q

How is Achilles tendinopathy managed?

A

Rest
Ice
Analgesia
Physiotherapy
Orthotics (e.g. insoles)
Extracorporeal shock-wave therapy
Surgery- to remove nodules, adhesions or alter tendon

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7
Q

Why do we not give steroid steroid injections for Achilles tendinopathy?

A

Tendon rupture risk

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T&O Surgery (34 decks)

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