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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 19, Issue 8, pp 1362–1366 | Cite as

Good outcome after stripping the plantaris tendon in patients with chronic mid-portion Achilles tendinopathy

  • Maayke N. van SterkenburgEmail author
  • Gino M. M. J. Kerkhoffs
  • C. Niek van Dijk
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Abstract

Purpose

Achilles tendinopathy is a problem that is generally difficult to treat. The pain is frequently most prominent on the medial side of the mid-portion of the tendon, where the plantaris tendon is running parallel to the Achilles tendon. The purpose of this study was to assess whether excision of the plantaris tendon would relieve symptoms.

Methods

Three patients with pain and stiffness at the mid-portion of the Achilles tendon were treated by excision of the plantaris tendon. Preoperatively, these patients experienced recognizable tenderness on palpation of the medial side of the mid-portion of the Achilles tendon with localized nodular thickening at 4–7 cm proximal to the insertion. MRI indicated Achilles tendinopathy with the involvement of the plantaris tendon.

Results

The plantaris tendon was bluntly retrieved and excised with a tendon stripper through a 4-cm incision in the proximal calf. We report a good-to-excellent outcome of this novel procedure in three patients with chronic mid-portion Achilles tendinopathy

Conclusion

The medial pain might be based on the involvement of the plantaris tendon in the process.

Level of evidence

IV.

Keywords

Achilles tendon Mid-portion tendinopathy Plantaris tendon Tendon Stripping 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Maayke N. van Sterkenburg
    • 1
    Email author
  • Gino M. M. J. Kerkhoffs
    • 1
  • C. Niek van Dijk
    • 1
  1. 1.Department of Orthopaedic SurgeryAcademic Medical CenterDE AmsterdamThe Netherlands

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