88
Views
0
CrossRef citations to date
0
Altmetric
SHORT REPORT

Tendinopathic Plantaris but Normal Achilles Tendon Found in About One-Fifth of Patients Not Responding to Conservative Achilles Tendon Management – Results from a Prospective WALANT Surgical Case Series on 105 Tendons

, ORCID Icon, & ORCID Icon
Pages 41-45 | Received 23 Dec 2023, Accepted 28 Mar 2024, Published online: 10 Apr 2024

References

  • De Jonge S, Van den Berg C, De Vos RJ, et al. Incidence of midportion Achilles tendinopathy in the general population. Br J Sports Med. 2011;45:1026–1028. doi:10.1136/bjsports-2011-090342
  • Fahlström M, Jonsson P, Lorenzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11:327–333. doi:10.1007/s00167-003-0418-z
  • Murtaugh B, Ihm J. Eccentric training for the treatment of tendinopathies. Curr Sports Med Reports. 2013;12(175):182. doi:10.1249/JSR.0b013e3182933761
  • Alfredson H, Pietilä T, Lorentzon R, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26:360–366. doi:10.1177/03635465980260030301
  • Alfredson H. Midportion Achilles tendinosis and the plantaris tendon. Br J Sports Med. 2011;45:1023–1025. doi:10.1136/bjsports-2011-090217
  • Spang C, Alfredson H, Docking SI, Masci L, Andersson G. The plantaris tendon: a narrative review focusing on anatomical features and clinical importance. Bone Joint J. 2016;98-B:1312–1319. doi:10.1302/0301-620X.98B10.37939
  • Alfredson H. Persistent pain in the Achilles mid-portion? Consider the plantaris tendon as a possible culprit! Br J Sports Med. 2017;51:833–834. doi:10.1136/bjsports-2016-097360
  • Spang C, Alfredson H, Ferguson M, Roos B, Bagge J, Forsgren S. The plantaris tendon in association with mid-portion Achilles tendinosis: tendinosis-like morphological features and presence of a non-neuronal cholinergic system. Histol Histopathol. 2013;28:623–632. doi:10.14670/HH-28.623
  • Spang C, Harandi VM, Alfredson H, Forsgren S. Marked innervation but also signs of nerve degeneration between the Achilles and plantaris tendons and presence of innervation within the plantaris tendon in midportion Achilles tendinopathy. J Muculoskeletal Neuronal Interact. 2015;15:197–206.
  • Smith J, Alfredson H, Masci L, Sellon JL, Woods CD. Differential plantaris-achilles tendon motion: a sonographic and cadaveric investigation. PM R. 2017;9(7):691–698. doi:10.1016/j.pmrj.2016.10.013
  • Cook JL, Purdam C. Is compressive load a factor in the development of tendinopathy? Br J Sports Med. 2012;46(3):163–168. doi:10.1136/bjsports-2011-090414
  • Masci L, Spang C, van Schie H, Alfredson H. How to diagnose plantaris tendon involvement in midportion Achilles tendinopathy - clinical and imaging findings. BMC Musculoskeletal Disord. 2016;17:97. doi:10.1186/s12891-016-0955-5
  • Masci L, Spang C, van Schie HT, Alfredson H. Achilles tendinopathy-do plantaris tendon removal and Achilles tendon scraping improve tendon structure? A prospective study using ultrasound tissue characterisation. BMJ Open Sport Exerc Med. 2015;1(1):e000005. doi:10.1136/bmjsem-2015-000005
  • Masci L, Neal BS, Wynter Bee W, Spang C, Alfredson H. Achilles scraping and plantaris tendon removal improves pain and tendon structure in patients with mid-portion Achilles tendinopathy-A two-year follow-up case series. J Clin Med. 2021;10:2695. doi:10.3390/jcm10122695
  • Calder JD, Freeman R, Pollock N. Plantaris excision in the treatment of non-insertional Achilles tendinopathy in elite athletes. Br J Sports Med. 2015;49(23):1532–1534. doi:10.1136/bjsports-2014-093827
  • Bedi HS, Jowett C, Ristanis S, Docking S, Cook J. Plantaris excision and ventral paratendinous scraping for achilles tendinopathy in an athletic population. Foot Ankle Int. 2016;37(4):386–393. doi:10.1177/1071100715619989
  • Alfredson H, Masci L, Spang C. Surgical plantaris removal for patients with plantaris tendon related pain only and a normal Achilles tendon: a case series. BMJ Open Sp Exerc Med. 2018;4:000462.
  • van Stekenburg MN, Kerkhoffs GM, Kleipool RP, van Dijk NC. The plantaris tendon and a potential role in mid-portion Achilles tendinopathy: an observational anatomical study. J Anatomy. 2011;218:336–341. doi:10.1111/j.1469-7580.2011.01335.x
  • Alfredson H, Masci L, Spang C. Ultrasound and surgical inspection of plantaris tendon involvement in chronic painful insertional Achilles tendinopathy: a case series. BMJ Open Sport Exerc Med. 2021;7(1):e000979. doi:10.1136/bmjsem-2020-000979