Results of surgical treatment of calcaneus insertional tendinopathy in middle- and long-distance runners

Verfasser / Beitragende:
[R. Rousseau, A. Gerometta, S. Fogerty, E. Rolland, Y. Catonné, F. Khiami]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/9(2015-09-01), 2494-2501
Format:
Artikel (online)
ID: 605456712
LEADER caa a22 4500
001 605456712
003 CHVBK
005 20210128100219.0
007 cr unu---uuuuu
008 210128e20150901xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-2986-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2986-5 
245 0 0 |a Results of surgical treatment of calcaneus insertional tendinopathy in middle- and long-distance runners  |h [Elektronische Daten]  |c [R. Rousseau, A. Gerometta, S. Fogerty, E. Rolland, Y. Catonné, F. Khiami] 
520 3 |a Purpose: Calcaneus insertional tendinopathy in runners is common and involves important therapeutic controversies. The object of this study was to determine the delay and level of return to sport after insertional surgery in runners, with and without tendon damage. Methods: Eighteen runners underwent surgery for insertional calcaneus tendinopathy. Nine required an exostosectomy/bursectomy, and nine others required a tendon reinsertion/autograft. All patients were clinically assessed pre- and post-operatively with AOFAS scores and post-operatively with ATRS. This series included analysis of "pure conflicts” and "severe insertional lesion” scores. If the insertional tendon was free or the lesion was smaller than 50%, the group was classified as "pure conflict/minor tendon damage”. In the situation in which a loss of tendon occurred or the tendon lesion was greater than 50%, the group was classified as "major tendon damage”. Pre-operatively, the AOFAS "overall”, "pure conflicts/minor tendon damage” and "major tendon damage” groups' scores were 58.5±15, 68.2±8.8 and 48.9±13.9/100, respectively. Results: Post-operatively, the AOFAS "overall”, "pure conflicts/minor tendon” and "major tendon damage” groups' scores were 93.7±8.2, 93.2±10.2 and 95.2±5.7/100, respectively. The AOFAS score gain for each group was, respectively, 35.2±19, 24±17 and 46.3±14.1. The ATRS "overall”, "pure conflicts/minor tendon damage” and "major tendon damage” groups' scores were 81.5±14.9, 78.3±20.1 and 84.7±6.7/100, respectively. The global sport recovery delay was 9.3±4.1months; it was 6±3.3months for the pure conflict/minor tendon damage subgroup and 10±4.6months for the severe tendon damages subgroup. Conclusion: Achilles insertional tendinopathy surgery on this population results in few complications with good functional results if the surgical technique is adapted to the type of tendon injury. The clinical relevance of this study is that it highlights the various forms of calcaneus insertional tendinopathy and various treatment options. The authors show that in the case of major tendon damage, time to return to sport is longer. Level of evidence: A prospective comparative therapeutic study, Level II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Insertional tendinopathy  |2 nationallicence 
690 7 |a Bursitis  |2 nationallicence 
690 7 |a Haglund  |2 nationallicence 
690 7 |a Achilles  |2 nationallicence 
700 1 |a Rousseau  |D R.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
700 1 |a Gerometta  |D A.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
700 1 |a Fogerty  |D S.  |u Leeds General Infirmary, Leeds, UK  |4 aut 
700 1 |a Rolland  |D E.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
700 1 |a Catonné  |D Y.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
700 1 |a Khiami  |D F.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2494-2501  |x 0942-2056  |q 23:9<2494  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2986-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2986-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rousseau  |D R.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gerometta  |D A.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fogerty  |D S.  |u Leeds General Infirmary, Leeds, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rolland  |D E.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Catonné  |D Y.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Khiami  |D F.  |u Service de chirurgie orthopédique et traumatologie, Hôpital de la Pitié-Salpêtrière, 47-83 Boulevard de l'hôpital, 75013, Paris, France  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/9(2015-09-01), 2494-2501  |x 0942-2056  |q 23:9<2494  |1 2015  |2 23  |o 167