Title |
Terminology for Achilles tendon related disorders
|
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Published in |
Knee Surgery, Sports Traumatology, Arthroscopy, January 2011
|
DOI | 10.1007/s00167-010-1374-z |
Pubmed ID | |
Authors |
C. N. van Dijk, M. N. van Sterkenburg, J. I. Wiegerinck, J. Karlsson, N. Maffulli |
Abstract |
The terminology of Achilles tendon pathology has become inconsistent and confusing throughout the years. For proper research, assessment and treatment, a uniform and clear terminology is necessary. A new terminology is proposed; the definitions hereof encompass the anatomic location, symptoms, clinical findings and histopathology. It comprises the following definitions: Mid-portion Achilles tendinopathy: a clinical syndrome characterized by a combination of pain, swelling and impaired performance. It includes, but is not limited to, the histopathological diagnosis of tendinosis. Achilles paratendinopathy: an acute or chronic inflammation and/or degeneration of the thin membrane around the Achilles tendon. There are clear distinctions between acute paratendinopathy and chronic paratendinopathy, both in symptoms as in histopathology. Insertional Achilles tendinopathy: located at the insertion of the Achilles tendon onto the calcaneus, bone spurs and calcifications in the tendon proper at the insertion site may exist. Retrocalcaneal bursitis: an inflammation of the bursa in the recess between the anterior inferior side of the Achilles tendon and the posterosuperior aspect of the calcaneus (retrocalcaneal recess). Superficial calcaneal bursitis: inflammation of the bursa located between a calcaneal prominence or the Achilles tendon and the skin. Finally, it is suggested that previous terms as Haglund's disease; Haglund's syndrome; Haglund's deformity; pump bump (calcaneus altus; high prow heels; knobbly heels; cucumber heel), are no longer used. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 1% |
Italy | 2 | <1% |
Norway | 1 | <1% |
Austria | 1 | <1% |
Germany | 1 | <1% |
Brazil | 1 | <1% |
Spain | 1 | <1% |
Japan | 1 | <1% |
United States | 1 | <1% |
Other | 0 | 0% |
Unknown | 436 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 77 | 17% |
Student > Master | 61 | 14% |
Researcher | 40 | 9% |
Student > Ph. D. Student | 35 | 8% |
Student > Postgraduate | 34 | 8% |
Other | 87 | 19% |
Unknown | 117 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 162 | 36% |
Nursing and Health Professions | 61 | 14% |
Sports and Recreations | 43 | 10% |
Agricultural and Biological Sciences | 9 | 2% |
Engineering | 9 | 2% |
Other | 28 | 6% |
Unknown | 139 | 31% |