Achilles Tendinosis Injuries-Tendinosis to Rupture (Getting the Athlete Back to Play)

Clin Sports Med. 2020 Oct;39(4):877-891. doi: 10.1016/j.csm.2020.05.001. Epub 2020 Aug 14.

Abstract

Recreational athletes are susceptible to experiencing pain in the Achilles tendon, affecting their ability to complete daily activities. Achilles tendinosis is a degenerative process of the tendon without histologic or clinical signs of intratendinous inflammation, which can be categorized by location into insertional and noninsertional tendinosis. This condition is one that can be treated conservatively with great success or surgically for refractory cases. Currently, there is a lack of consensus regarding the best treatment options. This review aims to explore both conservative and operative treatment options for Achilles tendinopathy and Achilles tendon rupture.

Keywords: Achilles tendon; Achilles tendon rupture; Insertional Achilles tendinosis; Noninsertional Achilles tendinosis; Return to play; Tendinosis.

Publication types

  • Review

MeSH terms

  • Achilles Tendon / injuries*
  • Achilles Tendon / surgery
  • Ankle Injuries / diagnosis
  • Ankle Injuries / etiology
  • Ankle Injuries / physiopathology
  • Ankle Injuries / therapy*
  • Athletic Injuries / diagnosis
  • Athletic Injuries / etiology
  • Athletic Injuries / physiopathology
  • Athletic Injuries / therapy*
  • Conservative Treatment / methods
  • Humans
  • Orthopedic Procedures / methods*
  • Return to Sport*
  • Rupture / diagnosis
  • Rupture / etiology
  • Rupture / physiopathology
  • Rupture / therapy*
  • Tendinopathy / diagnosis
  • Tendinopathy / etiology
  • Tendinopathy / physiopathology
  • Tendinopathy / therapy*
  • Treatment Outcome