Achilles Tendinopathy And Tendon Rupture

Surgery is favoured in competing athletes and in cases where the rupture has become chronic. Conservative treatment is a good alternative for managing acute ruptures in normally active patients as well as in elderly and non-active patients.

Disorders of the Achilles tendon are universal, affecting people in a wide range of age groups. Because the Achilles tendon is one of the most pow- ful musculotendinous structures in the body, the impact of an injury to the Achilles tendon becomes magnified. There is a wide range of disorders or problems that can involve the insertional region, where pathology may rest with bone, tendon, or bursae. A completely different set of pathologic entities resides in the noninsertional region, one of which may include the frustrating degenerative tendinopathy. As our growing population ages but remains phy- cally active longer into life, the incidence of these disorders will continue to increase. I am proud to be given the opportunity to write the foreword to this text, which is intended for foot and ankle surgeons worldwide. Seldom does a book on a single entity become a current concepts review, as this work has. Too often, textbooks are not published for several years after the chapters have been written, making them obsolete upon publication. Not so with this book, which deals with timely topics on the Achilles tendon. Dr. James Nunley has compiled this work in slightly over a year, thus providing the reader with sta- of-the-art material. Dr. Nunley had the foresight to create a much needed techniques-oriented book dealing with the complexities of the Achilles tendon. His approach was to develop a comprehensive guide to managing Achilles tendon problems.

This issue of Foot and Ankle Clinics, edited by Dr. Selene Parekh, will cover Treatment of Acute and Chronic Tendon Rupture and Tendinopathy. Topics discussed in the issue include, but are not limited to: Understanding the Anatomy and biomechanics; Tendonitis & Tendinopathy; Presentation, diagnosis and nonsurgical treatment options; The Missed Achilles Tear; Insertional Tendinopathy of the Achilles; Allograft Reconstruction for Achilles Disease; Using Arthroscopic Techniques for Achilles Pathology; Osteotomies for Achilles pathologies; Surgical treatment of acute ruptures of the peroneals, among others.

This book, written by leading experts in the field, is a comprehensive guide to the best available techniques in Achilles tendon surgery. Each surgical procedure is described step by step, covering all of the approaches employed for the most common and important Achilles tendon pathologies. The clear descriptions are complemented by superb drawings prepared by a medical artist on the basis of photographs supplied by the authors. Pearls and possible pitfalls are identified to ensure optimal outcomes for patients. The book is the outcome of a collaboration among international Achilles tendon experts – the Achilles Tendon Study Group – that has already resulted in four other books on current concepts relating to the Achilles tendon. Like these previous volumes, The Achilles Tendon – An Atlas of Surgical Procedures is based on the highest level of evidence and expertise. It will be invaluable for orthopaedic surgeons, trauma surgeons, and residents, assisting them in their daily clinical work.

This issue of Foot and Ankle Clinics, guest edited by Dr. Phinit Phisitkul, will cover essential topics related to Updates in the Management of Acute and Chronic Lesions of the Achilles Tendon. Under the guidance of long-time series Consulting Editor Dr. Mark Myerson, Dr. Phistikul and his contributing authors will explore topics of interest for practitioners in the field. Articles include, but are not limited to: Anatomical and functional considerations in Achilles tendon lesions; Minimally invasive treatments for acute Achilles tendon ruptures; Open Reconstructive strategies for Chronic Achilles Tendon Ruptures; Maximizing the return to sports after Achilles tendon rupture in athletes; Nonsurgical treatment modalities for Insertional Achilles tendinopathy; Surgical strategies for the treatment of Insertional Achilles Tendinopathy; Minimally invasive and endoscopic treatment of Haglund syndrome; Management of complications related to Achilles tendon surgery; Biologics in the treatment of Achilles tendon pathologies; and Endoscopic reconstruction for Chronic Achilles Tendon Ruptures, among others.

This concise volume in the Encyclopaedia of Sports Medicine series, published under the auspices of the International Olympic Committee, provides a dependable source of current knowledge available on tendinopathy and covers both the basic science and clinical aspects of the subject. Despite its high incidence, the precise etiopathogenesis and effective treatment of tendinopathy remain elusive. Tendinopathy in Athletes draws on the expertise of an international and prolific collection of contributors, both clinicians and scientists, who provide new insights into this specialized area. This book: provides a comprehensive resource for both clinicians and researchers with information organized logically, with an easy-to-follow progression from the basic scientific findings to clinical applications discusses the full range of treatment modalities, including new molecular and biological approaches, plus surgical and alternative approaches to tendinopath contains “What We Need to Know” sections that suggest future areas of research for young investigators. As tendinopathy remains one of the most common injuries encountered, both in sports and at the workplace, this essential volume is sure to be a source of frequent consultation.

Tendon ailments are a significant cause of morbidity among athletes of all levels and are increasing in prevalence. Their management is often empirical, and para-scientific, only looking at the biological aspects of tendon ailments. This book conveys a comprehensive and concise body of knowledge on the management of tendon problems in sportspeople with practical details of clinical protocols. Tendon Injuries: Basic Science and Clinical Medicine is specifically dedicated to the clinical aspects of tendinopathy and provides the required knowledge and scientific basis for the sports medicine practitioner, orthopedic specialist and student facing upper and lower limb tendon ailments in athletes. A comprehensive review of tendon disorders is given and modern criteria of management outlined to form the basis of effective clinical management of this group of patients.