Non-Insertional Achilles Tendonitis Flashcards Preview

Clinical Med and Diagnostic > Non-Insertional Achilles Tendonitis > Flashcards

Flashcards in Non-Insertional Achilles Tendonitis Deck (12)
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1

_______ zone 2-6 cm proximal to insertion

Most causative area for rupture in the Achilles

Watershed zone

2

: inflammation involving peritendinous structures

Peritendonitis:

3

with tendinosis: inflammatory process involving peritendinous structures along with degeneration of the tendon

Peritendonitis

4

degeneration of the tendon without concomitant inflammation caused by accumulated microtrauma, aging or both

Tendinosis

5

Etiology/risk factors of non insertional achilles tendonitis

Intrinsic

Mechanical imbalances
Systemic diseases/Metabolic

Body weight and height
Age
Genetic predisposition

Multifactorial!

6

Etiology/risk factors of non insertional achilles tendonitis

Extrinsic

Overuse/poor training habits
Pharmaceuticals
Environmental factors
Footwear
Multifactorial!

7

_____ is a common component of developing Non-insertional Achilles Tendonitis

Vasculitis --> affects water shed zones

8

Calcification of the Achilles Tendon

continuous with calcaneal insertion

Type I:

9

Calcification of the Achilles Tendon

insertion zone, separated from the os calcis

Type II

10

Calcification of the Achilles Tendon

proximal to insertion zone

Type III:

11

Debridement of affected tissues

Percutaneous micro-debridement/radiofrequency (Topaz, Tenex): stimulates an inflammatory response followed by neovascularization.

Debridement with tendon augmentation

Tendon transfer

Achilles lengthening (gastroc recession)

Surgical

Non insertional Achilles tendon treatment

12

NSAIDS
Immobilization
Platelet rich plasma (PRP)?
Physical therapy
Eccentric exercise

Conservative

Non insertional Achilles tendon treatment