Tendon Disorders
A 45-year-old recreational runner presents with posterior heel pain of 6 months duration. The pain is worst in the morning and at the start of exercise, improving with activity. Examination reveals a tender, thickened Achilles tendon 4cm proximal to the insertion. Ultrasound confirms fusiform thickening with hypoechoic areas and neovascularization. Regarding Achilles tendinopathy:
Mark each as TRUE or FALSE
Achilles tendinopathy is classified by location: insertional (at the calcaneal insertion, often asso...
Risk factors include middle age, male sex, overuse (sudden training changes), obesity, diabetes, qui...
Tendinopathy is primarily inflammatory; insertional occurs at the watershed zone; the paratenon is a...
Conservative treatment is successful in 75-80% and includes: activity modification, eccentric loadin...
Surgical options for failed conservative treatment (6 months) include: for non-insertional - debride...
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Click T (True) or F (False) for each option