Abstract
Insertional Achilles tendinosis is a condition where a patient complains of isolated
pain at the Achilles tendon insertion site due to intratendinous degeneration. It
has been suggested that this condition is associated with cavus foot deformity. However,
to our knowledge, there is no study that has confirmed this observation. We carried
out a cross-sectional, case-controlled study to explore the association of increased
calcaneal inclination—a surgically important characteristic of cavus foot deformity—with
insertional Achilles tendinosis. Patients with Achilles tendinosis and matched controls
without the pathology were compared. Although a statistically significant difference
was detected in calcaneal inclination angle between these 2 groups (p = .038), we felt that the difference was not clinically significant (calcaneal inclination
angle = 20.9 vs. 18.9, respectively). Within the limitations of the study, we conclude
that there is no clinically significant difference in calcaneal inclination between
those with or without insertional Achilles tendinosis.
Level of Clinical Evidence
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Achilles tendon injuries in athletes.Ann Chir Gynaecol. 1991; 80: 188-201
- Where tendons and ligaments meet bone: attachment sites (‘entheses’) in relation to exercise and/or mechanical load.J Anat. 2006; 208: 471-490
- Current concepts review: insertional achilles tendinopathy.Foot Ankle Int. 2010; 31: 933-939
- Etiologic factors associated with symptomatic achilles tendinopathy.Foot Ankle Int. 2006; 27: 952-959
- Insertional Achilles tendinosis: pathogenesis and treatment.Foot Ankle Clin. 2009; 14: 639-650
- Prevalence of foot and ankle conditions in a multiethnic community sample of older adults.Am J Epidemiol. 2004; 159: 491-498
- Relationship between foot type, foot deformity, and ulcer occurrence in the high-risk diabetic foot.J Rehabil Res Dev. 2005; 42: 665-672
- The influence of footwear on the prevalence of flat foot. A survey of 1846 skeletally mature persons.J Bone Joint Surg Br. 1995; 77: 254-257
- Epidemiologic investigation of 1394 feet: coincidence of hindfoot malalignment and Achilles tendon disorders.Foot Ankle Surg. 2012; 18: 119-123
- The effect of foot structure and range of motion on musculoskeletal overuse injuries.Am J Sports Med. 1999; 27: 585-593
- Achilles tendinopathy.J Bone Joint Surg Am. 2002; 84-A: 2062-2076
- Corticosteroid injections in the treatment of foot and ankle disorders: an AOFAS survey.Foot Ankle Int. 2011; 32: 394-399
- The influence of platelet-rich plasma on angiogenesis during the early phase of tendon healing.Foot Ankle Int. 2009; 30: 1101-1106
- Extra-corporeal pulsed-activated therapy (“EPAT” sound wave) for Achilles tendinopathy: a prospective study.J Foot Ankle Surg. 2011; 50: 315-319
- Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial.JAMA. 2010; 303: 144-149
- Nonoperative treatment of midportion Achilles tendinopathy: a systematic review.Clin J Sport Med. 2009; 19: 54-64
- Glucocorticoid injections in lesions of the achilles tendon.Foot Ankle Int. 2009; 30: 661-665
- The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010.J Foot Ankle Surg. 2010; 49: S1-S19
- Insertional achilles tendinopathy management: a systematic review.Foot Ankle Int. 2010; 31: 689-694
- Radiofrequency coblation for chronic foot and ankle tendinosis.J Orthop Surg (Hong Kong). 2009; 17: 325-330
- Noninsertional Achilles tendinopathy treated with gastrocnemius lengthening.Foot Ankle Int. 2011; 32: 375-379
- Gastrocnemius recession as treatment for refractory achilles tendinopathy: a case report.Foot Ankle Int. 2008; 29: 620-623
- Surgical management of Achilles tendon overuse injuries. A long-term follow-up study.Am J Sports Med. 1994; 22: 611-619
- Haglund’s deformity.J Am Podiatry Assoc. 1984; 74: 129-135
- Posttraumatic and degenerative problems in the muscles and tendons.in: Hansen S.T. Functional Reconstruction of the Foot and Ankle. Lippincott Williams & Wilkins, Philadelphia2000: 187-194
- Insertional Achilles tendinitis and Haglund’s deformity.Foot Ankle Int. 2012; 33: 487-491
- Posterior heel pain: Haglund’s deformity, pump-bump deformity, and Achilles insertional calcific tendinosis (AICT).in: Chang T.J. Master Techniques in Podiatric Surgery: The Foot and Ankle. Lippincott Williams & Wilkins, Philadelphia2005: 265-277
- Overuse injuries of the Achilles tendon.Ann Chir Gynaecol. 1991; 80: 202-207
- Achilles tendon disorders in athletes.Am J Sports Med. 2002; 30: 287-305
- Chronic Achilles tendon pain treated with eccentric calf-muscle training.Knee Surg Sports Traumatol Arthrosc. 2003; 11: 327-333
- Sonographic incidence of tendon microtears in athletes with chronic Achilles tendinosis.Br J Sports Med. 1999; 33: 129-130
- The association between body mass index and musculoskeletal foot disorders: a systematic review.Obes Rev. 2012; 13: 630-642
- Characteristics of adult flatfoot in the United States.J Foot Ankle Surg. 2010; 49: 363-368
- The population prevalence of foot and ankle pain in middle and old age: a systematic review.Pain. 2011; 152: 2870-2880
- MR imaging of the Achilles tendon: overlap of findings in symptomatic and asymptomatic individuals.Skeletal Radiol. 2000; 29: 640-645
Article info
Publication history
Published online: July 23, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
