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Treatment of Acute and Chronic Tendon Rupture and Tendinopathy, An Issue of Foot and Ankle Clinics of North America, E-Book

Treatment of Acute and Chronic Tendon Rupture and Tendinopathy, An Issue of Foot and Ankle Clinics of North America, E-Book

Selene G. Parekh

(2017)

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Book Details

Abstract

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.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Treatment of Acute and Chronic Tendon Rupture and Tendinopathy\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Editorial Advisory Board vii
Contents ix
Preface: All Those Worms ix
Understanding the Anatomy and Biomechanics of Ankle Tendons ix
Tendonitis and Tendinopathy: What Are They and How Do They Evolve? ix
Presentation, Diagnosis, and Nonsurgical Treatment Options of the Anterior Tibial Tendon, Posterior Tibial Tendon, Peroneal ... ix
The Acute Injury of the Achilles: Surgical Options (Open Treatment, and, Minimally Invasive Surgery) ix
The Missed Achilles Tear: Now What? x
Treatment of Neglected Achilles Tendon Ruptures with Interpositional Allograft x
Noninsertional Tendinopathy of the Achilles x
Insertional Tendinopathy of the Achilles: Debridement, Primary Repair, and When to Augment x
Using Arthroscopic Techniques for Achilles Pathology xi
What Do You Do With The Achilles if You Have No Fancy Toys? xi
Treatment of Acute and Chronic Tibialis Anterior Tendon Rupture and Tendinopathy xi
Acute Peroneal Injury xi
Chronic Rupture of the Peroneal Tendons xii
FOOT AND ANKLE CLINICS\r xiii
FORTHCOMING ISSUES xiii
March 2018 xiii
June 2018 xiii
September 2018 xiii
RECENT ISSUES xiii
September 2017 xiii
June 2017 xiii
March 2017 xiii
Preface:\rAll Those Worms xv
Understanding the Anatomy and Biomechanics of Ankle Tendons 657
Key points 657
INTRODUCTION 657
TENDON COMPOSITION AND STRUCTURE 657
ACHILLES TENDON 660
ANTERIOR TIBIAL TENDON 660
POSTERIOR TIBIAL TENDON 661
PERONEAL TENDONS 662
Peroneus Brevis 662
Peroneus Longus 662
SUMMARY 663
REFERENCES 663
Tendonitis and Tendinopathy 665
Key points 665
INTRODUCTION 665
ETIOLOGY 666
Extrinsic Factors 666
Intrinsic Factors 667
PATHOLOGY: EVOLUTION 669
SPECIFIC TENDONS OF THE FOOT AND ANKLE 670
Achilles 670
Posterior Tibialis 671
Peroneal Tendons 672
SUMMARY 673
REFERENCES 673
Presentation, Diagnosis, and Nonsurgical Treatment Options of the Anterior Tibial Tendon, Posterior Tibial Tendon, Peroneal ... 677
Key points 677
INTRODUCTION 677
ANTERIOR TIBIAL TENDON 677
HISTORY AND PRESENTATION 678
DIAGNOSIS 678
Clinical Examination 678
Imaging Studies 679
NONSURGICAL TREATMENT OPTIONS 679
POSTERIOR TIBIAL TENDON 679
Presentation 679
DIAGNOSIS 680
Physical Examination/Staging 680
Imaging 680
NONSURGICAL TREATMENT OPTIONS 680
ACHILLES TENDON 681
PRESENTATION 681
DIAGNOSIS 681
Physical Examination 681
Imaging 682
NONSURGICAL TREATMENT 682
PERONEAL TENDONS 682
PRESENTATION 683
DIAGNOSIS 683
Physical Examination 683
Imaging 683
NONSURGICAL TREATMENT 683
REFERENCES 684
The Acute Injury of the Achilles 689
Key points 689
INTRODUCTION 689
PATIENT EVALUATION OVERVIEW 692
Patient History 692
Patient Physical Examination (American Academy of Orthopaedic Surgery Clinical Practice Guidelines) 692
Imaging 692
SURGICAL TREATMENT OPTIONS FOR MIDSUBSTANCE ACHILLES TENDON RUPTURE 693
Traditional Open Technique 693
Minimally Invasive Technique Using the Achillon 694
Minimally Invasive Technique Using the Percutaneous Achilles Repair System 3 697
Minimally Invasive Technique Using the Internal Brace for Midsubstance Achilles Ruptures (Arthrex Achilles Midsubstance Spe ... 704
Rehabilitation Protocol for Acute Achilles Primary Repair (All Techniques) 706
SURGICAL TREATMENT OPTIONS FOR ACUTE ACHILLES TENDON INSERTIONAL SLEEVE AVULSION 708
Open Two-suture Anchor Technique 708
Open SpeedBridge Technique 711
Rehabilitation Protocol for Acute Achilles Insertional Sleeve Avulsion Repair 712
Complications of Surgical Achilles Repair 713
SUMMARY 713
REFERENCES 713
The Missed Achilles Tear 715
Key points 715
INTRODUCTION 715
DEFINITIONS OF CHRONIC AND NEGLECTED ACHILLES TENDON RUPTURE 716
EVALUATION AND DIAGNOSIS 716
NONOPERATIVE TREATMENT 717
SURGICAL TREATMENT ALGORITHMS FOR CHRONIC RUPTURES 719
DIRECT END-TO-END REPAIR 719
V-Y TENDO-ACHILLES ADVANCEMENT 721
GASTROCNEMIUS TURNDOWN FLAPS 723
GAP BRIDGING USING AUTOGENOUS AND NONAUTOGENOUS SOURCES 724
Tendon Allograft 724
Autograft Augmentation 725
Synthetics 726
Allograft Dermal Patches 726
TENDON TRANSFERS 727
AUTHORS’ PREFERRED TECHNIQUE 729
REFERENCES 730
Treatment of Neglected Achilles Tendon Ruptures with Interpositional Allograft 735
Key points 735
INTRODUCTION 735
Clinical Findings 736
Treatment Goals 736
Nonoperative Treatment 737
Operative Management 737
AUTHORS’ PREFERRED TREATMENT 737
Surgical Technique 737
Anesthesia 737
Positioning 737
Approach 738
Postoperative protocol 738
Pearl 739
OUTCOMES 741
Interpositional Allografts 741
Bone Block Allografts 741
SUMMARY 742
REFERENCES 742
Noninsertional Tendinopathy of the Achilles 745
Key points 745
INTRODUCTION 745
EPIDEMIOLOGY 746
ETIOLOGY 746
Mechanical Injury 746
Vascular Anatomy 746
Metabolic Factors 747
Other Factors 747
BIOLOGY AND HISTOLOGY 747
PATIENT EVALUATION/DIAGNOSIS 747
NONPHARMALOGIC TREATMENT OPTIONS 748
PHARMACOLOGIC TREATMENT OPTIONS 750
COMBINATION THERAPIES 751
SURGICAL TREATMENT OPTIONS 751
TREATMENT COMPLICATIONS 753
SUMMARY 754
REFERENCES 754
Insertional Tendinopathy of the Achilles 761
Key points 761
BACKGROUND 761
CLINICAL PRESENTATION AND EVALUATION 762
NONSURGICAL MANAGEMENT 764
SURGICAL MANAGEMENT 765
Approaches 765
Tendon Reattachment 766
Tendon Augmentation 767
Haglund Excision 767
SENIOR AUTHOR’S PREFERRED SURGICAL TECHNIQUE 768
PROGNOSTIC FACTORS 771
POSTOPERATIVE REHABILITATION 775
COMPLICATIONS 776
SUMMARY 777
REFERENCES 777
Using Arthroscopic Techniques for Achilles Pathology 781
Key points 781
INTRODUCTION 781
ANATOMY 781
BIOMECHANICS 782
ACUTE PATHOLOGY 782
Achilles Rupture 782
Technique 783
Postoperative care 784
CLINICAL RESULTS 784
CHRONIC PATHOLOGY 785
Equinus Contracture 785
Technique 785
Postoperative care 787
CLINICAL RESULTS 787
Noninsertional Achilles Tendinopathy 787
Technique 789
Postoperative care 789
CLINICAL RESULTS 789
Insertional Achilles Tendinopathy 789
Technique 791
Postoperative care 792
CLINICAL RESULTS 793
Chronic Achilles Rupture 796
SUMMARY 796
REFERENCES 796
What Do You Do With The Achilles if You Have No Fancy Toys? 801
Key points 801
INTRODUCTION 801
INDICATIONS 802
CONTRAINDICATIONS 802
PREOPERATIVE PLANNING 802
SURGICAL PROCEDURE 802
Bone Tunnel-Assisted Bony Anchorage of Achilles Tendon to Calcaneus (for Defects up to 2 or 2–5 cm) 802
Position 802
Approach 803
Bone removal 803
Tendon excision 803
Management of defect up to 2 cm 803
Management of defect up to 2 to 5 cm 804
Bony anchorage 805
Closure 808
Bone Tunnel Assisted Bony Anchorage of Flexor Hallucis Longus to Calcaneus (for Defect More than 5 cm) 808
Position 808
Exposure 809
Excision of bone and tendon 810
Flexor hallucis longus harvest 810
Bony anchorage of flexor hallucis longus tendon 811
Closure 812
Bone Tunnel-Assisted Bony Anchorage of Semitendinosus to Calcaneus (for Defects More than 5 cm) 812
Position 812
Incision & preparation 813
Graft harvest 813
Bony anchorage 815
POSTOPERATIVE CARE 817
COMPLICATIONS AND MANAGEMENT 817
SUMMARY 818
REFERENCES 818
Treatment of Acute and Chronic Tibialis Anterior Tendon Rupture and Tendinopathy 819
Key points 819
INTRODUCTION 819
ANATOMY 820
TENDINOSIS 820
CLINICAL PRESENTATION FOR ACUTE AND CHRONIC TENDON RUPTURE 821
PHYSICAL EXAMINATION 821
IMAGING STUDIES 822
TREATMENT 822
NONOPERATIVE TREATMENT 823
SURGICAL MANAGEMENT 824
SURGICAL TECHNIQUE FOR PRIMARY REPAIR 824
SURGICAL TECHNIQUE FOR TENDON TRANSFER RECONSTRUCTION 825
OPTIONS FOR FREE TENDON AUTOGRAFT 826
ALLOGRAFT RECONSTRUCTION 827
AUGMENTATION 828
POSTOPERATIVE MANAGEMENT 828
COMPLICATIONS 828
SURGICAL OUTCOMES 828
SUMMARY 829
REFERENCES 830
Acute Peroneal Injury 833
Key points 833
INTRODUCTION 833
ANATOMY 834
BIOMECHANICS 835
INCIDENCE AND CAUSE 835
CLINICAL PRESENTATION 836
IMAGING 837
Treatment 838
Outcomes 838
SUMMARY 839
REFERENCES 839
Chronic Rupture of the Peroneal Tendons 843
Key points 843
INTRODUCTION 843
Clinical Presentation 843
Diagnostic Imaging 844
TREATMENT OPTIONS 844
Conservative Management 844
Two-Cable Surgical Solutions 844
One-Cable Surgical Solutions 845
CLINICAL CASE 846
SUMMARY 849
REFERENCES 849