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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 1

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An Med Asoc Med Hosp ABC 2021; 66 (1)

Chronic Achilles tendinopathy, a new option for treatment

King MAC, Torres SL, Cuéllar AA

Language: Spanish
References: 17
Page: 57-62
PDF size: 260.12 Kb.


ABSTRACT

The chronic insertional Achilles tendinopathy sin consistent with: pain, swelling, and difficulty to walk. The origin of this pathology is due to a combination of excess of stress forces that lead to repetitive microtrauma, suboptimal tissue vascularization, muscular unbalance of the extremity, genetic predisposition and metabolic factors. Initial the patients receive a non-surgical approach that tries to correct some ethological factors, followed by modifications in the physical activities, current medical treatments, and a formal rehabilitation program. The surgery is consider an option only in patients who do not respond to initial treatment. We present a case of a 49 year old female patient, who developed a painful growth in the left Achilles tendon body. After a year her walking was impaired. A general physician, whom with the suspicion of a tumor sends her to an oncology center, initially assessed the patient. Afterwards she was send to our service, where we made a diagnostic of chronic non-insertional Achilles tendinopathy. We initiated a non-surgical approach, but after four months a surgical treatment was decided. We performed a tendinoscopy of the Achilles, with debridement of the tendon associated with a posterior ankle arthroscopy and a flexor halluces longus transfer. We followed the patient for a year after which she had an independent and non-painful gait, she had returned to her daily activities with out any complications.


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