Percutaneous Longitudinal Tenotomies for Chronic Achilles Tendinopathy

  • J. S. Young
  • M. K. Sayana
  • V. Testa
  • F. Spiezia
  • U. G. Longo
  • Nicola MaffulliEmail author


Athletic tendinopathy is an overuse condition causing pain and swelling in and around tendons [8], not only restricted to athletes, but 25–30 % of patients are nonathletes [1].


Achilles Tendon Stab Wound Tendon Fiber Bloodless Field Crural Fascia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Astrom M. Partial rupture in chronic achilles tendinopathy. A retrospective analysis of 342 cases. Acta Orthop Scand. 1998;69:404–7.PubMedCrossRefGoogle Scholar
  2. 2.
    James SL, Bates BT, Osternig LR. Injuries to runners. Am J Sports Med. 1978;6:40–50.PubMedCrossRefGoogle Scholar
  3. 3.
    Kvist M. Achilles tendon injuries in athletes. Sports Med. 1994;18:173–201.PubMedCrossRefGoogle Scholar
  4. 4.
    Leach RE, Schepsis AA, Takai H. Long-term results of surgical ­management of Achilles tendinitis in runners. Clin Orthop Relat Res. 1992;(282):208–12.Google Scholar
  5. 5.
    Leadbetter WB, Mooar PA, Lane GJ, et al. The surgical treatment of tendinitis. Clinical rationale and biologic basis. Clin Sports Med. 1992;11:679–712.PubMedGoogle Scholar
  6. 6.
    Leppilahti J, Orava S, Karpakka J, et al. Overuse injuries of the Achilles tendon. Ann Chir Gynaecol. 1991;80:202–7.PubMedGoogle Scholar
  7. 7.
    Ljungqvist R. Subcutaneous partial rupture of the Achilles tendon. Acta Orthop Scand. 1967;Suppl 113:1+.Google Scholar
  8. 8.
    Maffulli N, Khan KM, Puddu G. Overuse tendon conditions: time to change a confusing terminology. Arthroscopy. 1998;14:840–3.PubMedCrossRefGoogle Scholar
  9. 9.
    Maffulli N, Pintore E, Petricciuolo F. Arthroscopy wounds: to suture or not to suture. Acta Orthop Belg. 1991;57:154–6.PubMedGoogle Scholar
  10. 10.
    Maffulli N, Testa V, Capasso G, et al. Results of percutaneous longitudinal tenotomy for Achilles tendinopathy in middle- and ­long-distance runners. Am J Sports Med. 1997;25:835–40.PubMedCrossRefGoogle Scholar
  11. 11.
    Nelen G, Martens M, Burssens A. Surgical treatment of chronic Achilles tendinitis. Am J Sports Med. 1989;17:754–9.PubMedCrossRefGoogle Scholar
  12. 12.
    Paavola M, Kannus P, Paakkala T, et al. Long-term prognosis of patients with achilles tendinopathy. An observational 8-year follow-up study. Am J Sports Med. 2000;28:634–42.PubMedGoogle Scholar
  13. 13.
    Rolf C, Movin T. Etiology, histopathology, and outcome of surgery in achillodynia. Foot Ankle Int. 1997;18:565–9.PubMedGoogle Scholar
  14. 14.
    Rovere GD, Webb LX, Gristina AG, et al. Musculoskeletal injuries in theatrical dance students. Am J Sports Med. 1983;11:195–8.PubMedCrossRefGoogle Scholar
  15. 15.
    Schepsis AA, Leach RE. Surgical management of Achilles tendinitis. Am J Sports Med. 1987;15:308–15.PubMedCrossRefGoogle Scholar
  16. 16.
    Subotnick SI, Sisney P. Treatment of Achilles tendinopathy in the athlete. J Am Podiatr Med Assoc. 1986;76:552–7.PubMedGoogle Scholar
  17. 17.
    Teitz CC, Garrett Jr WE, Miniaci A, et al. Tendon problems in athletic individuals. Instr Course Lect. 1997;46:569–82.PubMedGoogle Scholar
  18. 18.
    Testa V, Capasso G, Maffulli N, et al. Ultrasound-guided percutaneous longitudinal tenotomy for the management of patellar ­tendinopathy. Med Sci Sports Exerc. 1999;31:1509–15.PubMedCrossRefGoogle Scholar
  19. 19.
    Testa V, Capasso G, Benazzo F, et al. Management of Achilles tendinopathy by ultrasound-guided percutaneous tenotomy. Med Sci Sports Exerc. 2002;34:273–80.Google Scholar
  20. 20.
    Testa V, Maffulli N, Capasso G, et al. Percutaneous longitudinal ­tenotomy in chronic Achilles tendonitis. Bull Hosp Joint Dis. 1996;54:241–4.Google Scholar
  21. 21.
    Williams JG. Achilles tendon lesions in sport. Sports Med. 1986;3:114–35.PubMedCrossRefGoogle Scholar
  22. 22.
    Williams JG, Sperryn PN, Boardman S, et al. Post-operative management of chronic achilles tendon pain in sportsmen. Physiotherapy. 1976;62:256–9.PubMedGoogle Scholar
  23. 23.
    Winge S, Jorgensen U, Lassen Nielsen A. Epidemiology of injuries in Danish championship tennis. Int J Sports Med. 1989;10:368–71.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • J. S. Young
    • 1
  • M. K. Sayana
    • 1
  • V. Testa
    • 2
  • F. Spiezia
    • 3
  • U. G. Longo
    • 3
  • Nicola Maffulli
    • 1
    • 4
    Email author
  1. 1.Department of Trauma and Orthopaedic SurgeryKeele University School of Medicine, University Hospital of North StaffordshireStoke-on-Trent, StaffordshireUK
  2. 2.Department of Sports MedicineAngriItaly
  3. 3.Department of Orthopaedic and Trauma SurgeryCampus Biomedico UniversityTrigoria, RomeItaly
  4. 4.Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End HospitalQueen Mary University of LondonLondonUK

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