Release of the medial head of the gastrocnemius for Achilles tendinopathy in sedentary patients: a retrospective study
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Our aim was to ascertain whether releasing the medial head of he gastrocnemius improves clinical and functional outcomes of sedentary patients with long-standing tendinopathy of the main body of the Achilles tendon and allows return to daily activities.
Eighteen patients (seven men, 11 women) underwent release of the gastrocnemius medial head to manage chronic unilateral Achilles tendinopathy. Pre- and postoperatively, each patient completed the Victorian Institute of Sports Assessment–Achilles tendon (VISA-A) questionnaire. The maximum calf circumference and isometric plantar flexion strength of the gastrocsoleus complex were measured in both the affected and the contralateral leg. Function was scored using the 4-point Boyden scale at the last assessment.
At the last appointment, at an average follow-up of 54 months, maximum calf circumference and strength of the operated leg were not significantly different than pre-operatively and were significantly lower than the contralateral leg. All patients could satisfactorily perform the same work and daily activities as before symptom onset. At the last follow-up, the average VISA-A score was improved from a preoperative average value of 52.3 to 75 (range 51–94) (p < .001).
This approach to managing isolated Achiles tendinopathy is safe, effective, low cost and allows safe return to preinjury daily activities.
KeywordsSedentary patients Chronic Achilles tendinopathy Gastronemius medial-head release Return to daily activities
Conflict of interests
- 8.Del Buono A, Battery L, Denaro V, Maccauro G, Maffulli N (2011) Tendinopathy and inflammation: some truths. Int J Immunopathol Pharmacol 24(1 Suppl 2):45–50Google Scholar
- 9.Franceschi F, Papalia R, Paciotti M, Franceschetti E, Di Martino A, Maffulli N, Denaro V (2014) Obesity as a risk factor for tendinopathy: a systematic review. Int J Endocrinol 2014;2014:670262Google Scholar
- 10.Del Buono A, Oliva F, Osti L, Maffulli N (2013) Metalloproteases and tendinopathy. Muscles Ligaments Tendons J 21;3(1):51–7Google Scholar
- 29.Cameron N (1984) The measurement of human growth. Croom Helm, Beckenham 56–99Google Scholar
- 30.Jhingan S, Perry M, O’Driscoll G et al (2011) Thicker Achilles tendons are a risk factor to develop Achilles tendinopathy in elite professional soccer players. Muscle Ligament Tendon J 1:51–56Google Scholar
- 35.Morton D (1935) The human foot: its evolution, physiology, and functional disorders. Columbia University, New YorkGoogle Scholar