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Chinese Consensus on Insertional Achilles Tendinopathy.

, Hanlin Xu1, Hongyun Li1

  • 1H.X. and H.L. contributed equally to this work.

Orthopaedic Journal of Sports Medicine
|October 29, 2019
PubMed
Summary

This expert consensus addresses insertional Achilles tendinopathy (IAT), providing standardized recommendations for its diagnosis and treatment. It establishes clear guidelines for managing this common clinical condition.

Keywords:
Achilles tendondiagnosis and treatmentexpert consensusinsertional tendinopathy

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Area of Science:

  • Sports Medicine
  • Orthopaedics
  • Ankle Pathology

Background:

  • Insertional Achilles tendinopathy (IAT) is a prevalent clinical condition.
  • There is a lack of consensus regarding IAT's mechanism, pathology, diagnosis, treatment, and rehabilitation.
  • The Chinese Society of Sports Medicine convened experts to address this knowledge gap.

Purpose of the Study:

  • To develop an expert consensus statement on insertional Achilles tendinopathy (IAT).
  • To provide standardized recommendations for the clinical management of IAT.
  • To clarify concepts, causes, pathological processes, diagnosis, and treatment of IAT.

Main Methods:

  • A Delphi method was employed, involving 34 experts in sports medicine and orthopaedics.
  • Ten working groups reviewed literature and drafted statements on IAT.
  • An expert consensus meeting with secret voting determined the final recommendations.

Main Results:

  • Ten expert consensus statements were developed regarding the clinical diagnosis and treatment of IAT.
  • Eight statements achieved strong consensus (75%-99% agreement).
  • Two statements reached unanimity (100% agreement).

Conclusions:

  • The consensus provides a framework for understanding and managing IAT.
  • Accepted recommendations aim to standardize clinical practice for IAT.
  • This consensus will aid clinicians in the effective management of IAT.