• Ned Tijdschr Geneeskd · Oct 2007

    Review

    [Guideline 'Chronic Achilles tendinopathy, in particular tendinosis, in sportsmen/sportswomen'].

    • R van Linschoten, P T den Hoed, and A C de Jongh.
    • Vereniging voor Sportgeneeskunde, Postbus 52, 3720 AB Bilthoven.
    • Ned Tijdschr Geneeskd. 2007 Oct 20; 151 (42): 2319-24.

    Abstract--Chronic Achilles tendinopathy in sports often leads to various therapeutic strategies, medical shopping and frequently to inability to perform at the desired level. --Although it is clear that this chronic tendinopathy is not an inflammatory disease of the tendon, the cause of the degeneration of the tendon fibres is not understood. --The main therapeutic measure--based on scientific evidence--is eccentric calf-muscle training for at least 3 months. --Recent therapies such as sclerotherapy ofneovascularizations in and around the Achilles tendon appear to be promising, but more studies are required. --About 20% of the patients tend to be refractive to conservative measures. --In selected cases surgery can be undertaken, with percutaneous longitudinal tenotomy proving effective in 75-80% of the cases.

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