Non-Insertional Achilles Tendonitis Flashcards
_______ zone 2-6 cm proximal to insertion
Most causative area for rupture in the Achilles
Watershed zone
: inflammation involving peritendinous structures
Peritendonitis:
with tendinosis: inflammatory process involving peritendinous structures along with degeneration of the tendon
Peritendonitis
degeneration of the tendon without concomitant inflammation caused by accumulated microtrauma, aging or both
Tendinosis
Etiology/risk factors of non insertional achilles tendonitis
Intrinsic
Mechanical imbalances
Systemic diseases/Metabolic
Body weight and height
Age
Genetic predisposition
Multifactorial!
Etiology/risk factors of non insertional achilles tendonitis
Extrinsic
Overuse/poor training habits Pharmaceuticals Environmental factors Footwear Multifactorial!
_____ is a common component of developing Non-insertional Achilles Tendonitis
Vasculitis –> affects water shed zones
Calcification of the Achilles Tendon
continuous with calcaneal insertion
Type I:
Calcification of the Achilles Tendon
insertion zone, separated from the os calcis
Type II
Calcification of the Achilles Tendon
proximal to insertion zone
Type III:
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
NSAIDS Immobilization Platelet rich plasma (PRP)? Physical therapy Eccentric exercise
Conservative
Non insertional Achilles tendon treatment
