Abstract
Forty-nine patients with Achilles peritendinitis (APT) (11 bilateral) and 31 patients with retrocalcanear bursitis (RCB) (5 bilateral) were treated surgically (altogether 96 heels). There were 37 men and 12 women in the APT group, with a mean age of 38.4 years, and 26 men and 5 women in the RCB group, with a mean age of 32.3 years. Forty-five patients in the APT group and 30 patients in the RCB group were active in sports. All patients had been treated conservatively for at least 6 months (range 6 months to 13 years) without relief of symptoms. The operative method was bilateral longitudinal incision of fascia cruris and trimming of the adhesions to fascia and base of Kager's triangle in APT group, and ablation of the posterior upper corner of os calcaneus in RCB group. In order to assess the ability to return to sports, the healing results were evaluated by questionnaire in 42 patients (47 operations) in the APT group and 25 patients (28 operations) in the RCB group 2–11 years postoperatively. The results were excellent in 27, good in 11, fair in 7 and poor in 2 in the APT group, and excellent in 13, good in 10, fair in 2 and poor in 3 in the RCB group, respecitvely. Operative treatment of APT and RCB in patients whose symptoms persist after conservative treatment seems to give favourable results in the majority of cases.
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References
Clement DB, Taunton JE, Smart GW (1984) Achilles tendinitis and paratendinitis: etiology and treatment. Am J Sport Med 12: 179–184
Järvinen M (1992) Epidemiology of tendon injuries in sports. Clin Sprots Med 11: 439–504
Jozsa L, Kvist M, Balint BJ, Reffy A, Järvinen M, Lehto M, Barzo M (1989) The role of recreational sport activity in Achilles tendon rupture. A clinical, pathoanatomical and sociological study of 292 cases. Am J Sports Med 17: 338–343
Keck W, Kelly P (1965) Bursitis of the posterior part of the heel. Evaluation of surgical treatment of eighteen patients. J Bone Joint Surg [Am] 47: 267–273
Kvist M (1991) Achilles tendon injuries in athletes. Ann Chir Gynaecol 80: 188–201
Kvist H, Kvist M (1980) The operative treatment of chronic Achilles paratenonitis. J Bone Joint Surg [Br] 62: 353–357
Kvist M, Lehto M, Jozsa L, Järvinen M, Kvist H (1988) Chronic Achilles paratenonitis. An immunohistologic study of fibronectin and fibrinogen. Am J Sports Med 16: 616–623
Leach R, Schepsis A, Takai H (1992) Long-term results of surgical management of Achilles tendinitis in runners. Clin Orthop 282: 208–212
Leppilahti J, Orava S, Karpakka J, Takala T (1991) Overuse injuries of the Achilles tendon. Ann Chir Gynaecol 80: 202–207
Nesse E, Finsen V (1994) Poor results after resection for Haglund's heel. Analysis of 35 heels in 23 patients after 3 years. Acta Orthop Scand 65: 103–106
Schepsis AA, Leach RE (1987) Surgical management of Achilles tendinitis. Am J Sports Med 15: 308–315
Subotnick SI, Sisney P (1986) Treatment of Achilles tendinopathy in the athlete. J Am Podiatry Assoc 10: 552–557
Vega MR, Cavolo DJ, Green RM, Cohen RS (1984) Haglund's deformity. J Am Podiatry Assoc 74: 129–135
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Lehto, M.U.K., Järvinen, M. & Suominen, P. Chronic Achilles peritendinitis and retrocalcanear bursitis. Knee Surg, Sports traumatol, Arthroscopy 2, 182–185 (1994). https://doi.org/10.1007/BF01467923
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DOI: https://doi.org/10.1007/BF01467923