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Achilles tendon overuse injuries.

M T Galloway¹, P Jokl, O W Dayton

¹Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.

Clinics in Sports Medicine

|October 1, 1992

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Achilles tendon overuse injuries, including paratenonitis and tendinosis, are common in athletes. Conservative treatment is recommended, with surgery offering a successful return to athletics for resistant cases.

Area of Science:

Sports Medicine
Orthopedics
Musculoskeletal Disorders

Background:

Achilles tendon overuse injuries are prevalent in recreational athletes.
These injuries present as a spectrum from paratenonitis to tendinosis and rupture.
Predisposing factors include inadequate stretching, training errors, biomechanical issues, and training surfaces.

Purpose of the Study:

To review the spectrum of Achilles tendon overuse injuries.
To outline current treatment strategies for paratenonitis and tendinosis.
To discuss surgical indications and outcomes for recalcitrant cases.

Main Methods:

Review of literature on Achilles tendon overuse injuries.
Analysis of conservative and surgical treatment modalities.

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Evaluation of factors influencing patient outcomes.

Main Results:

Conservative management (stretching, strengthening, training correction) is the initial approach.
Surgical debridement is effective for patients unresponsive to conservative care.
Steroid injections are not recommended due to risks, including tendon rupture.

Conclusions:

Achilles tendinitis requires a comprehensive approach addressing causative factors.
Surgical intervention can lead to successful return to sport for advanced cases.
Avoiding steroid injections is crucial for Achilles tendon health.