Hydrodissection of an Achilles Tendinopathy on a Professional Athlete

  title={Hydrodissection of an Achilles Tendinopathy on a Professional Athlete},
  author={Deryk G. Jones and P. G. Brolinson and S. Patton and C. Wong},
  journal={MOJ Orthopedics \& Rheumatology},
We report a case of Achilles tendinosis that was treated with a high volume, hydrodissection visualized by conventional B-mode ultrasound. Prior MRI revealed a thickened right Achilles tendon with a small defect. Ultrasound examination showed a thickened Achilles tendon with physical exam revealing a prominent Haglund’s deformity, mild fusiform swelling and pain along the posterior Achilles (Figure 1 & 2). The condition had been poorly responsive to standard management including protected… Expand


A treatment algorithm for managing Achilles tendinopathy: new treatment options
Directing a patient through the algorithm presented here will maximise positive treatment outcomes in the treatment of Achilles tendinopathy. Expand
Ultrasound diagnosis and percutaneous treatment of Achilles tendon tethering: a case series
It is demonstrated that Kager’s fat pad scarring with Achilles tendon tethering can be diagnosed and treated with a simple in-office hydrodissection technique, leading to improved patient outcomes. Expand
Achilles tendinopathy: some aspects of basic science and clinical management
Surgical treatment for Achilles tendinopathy usually involves removal of adhesions and degenerated areas and decompression of the tendon by tenotomy or measures that influence the local circulation. Expand
A Systematic Review Comparing Clinical Outcomes and Identifying Potential Mechanisms for Effectiveness
This review has identified limited (Achilles) and conflicting (patellar) evidence that clinical outcomes are superior with eccentric loading compared with other loading programmes, questioning the currently entrenched clinical approach to these injuries. Expand
Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis
The treatment model with heavy-load eccentric calf muscle training has a very good short-term effect on athletes in their early forties. Expand
A Comparison of Two Different High-Volume Image-Guided Injection Procedures for Patients with Chronic Noninsertional Achilles Tendionpathy: A Pragmatic Retrospective Cohort Study
  • J Foot Ankle Surg
  • 2016
Ultrasound-Guided Injections Therapy of Achilles Tendinopathy with Platelet-Rich Plasma or Saline: A Randomized, Blinded, PlaceboControlled Trial
  • The American Journal of Sports Medicine
  • 2016
Figure 4: Haglund's deformity on physical exam