Hydrodissection of an Achilles Tendinopathy

NewsBot · Nov 9, 2017

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Hydrodissection of an Achilles Tendinopathy on a
Professional Athlete
MOJ Orthop Rheumatol 2017, 8(1): 00297 (Full text)

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 ambulation in a cam walker boot,
anti-inflammatory medication, modalities and therapeutic exercise, as well as a
platelet rich plasma injection. We suggest using high volume ultrasound guided
injection adjacent to (anterior to) the Achilles tendon as an adjunct to treat this
difficult clinical syndrome.
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