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Achilles tendonitis

What is achilles tendonitis? | What does achilles tendonitis look like? | Insertional problems of the achilles | Symptoms of achilles tendonitis | Causes of achilles tendonitis | Treatments for achilles tendonitis | Physiotherapy for achilles tendonitis | Orthotic for achilles tendonitis | How soon should non-operative treatment of achilles tendonitis improve symptoms? | Injecting achilles tendonitis | What if achilles tendonitis fails to settle despite injection? | The surgical treatment of achilles tendonosis | What is the rationale behind the operations? | Achilles paratenon stripping and tendon incision - operative stills | Post operative course following achilles tendonitis surgical treatment | Complications following debridement of achilles tendonitis/tendonosis | Operative gallery for flexor hallucis longus tendon transfer | Post-operative course after flexor hallucis longus tendon transfer | Complications following a flexor hallucis longus transfer | What is a Hagglunds deformity? | What Is insertional tendonosis of the achilles? | Treatment for Hagglunds deformity/or insertional achilles tendonosis | Non-operative treatment of Hagglunds deformity, achilles tendonosis | Operative management of Hagglunds deformity and insertional achilles tendonosis

 

Achilles paratenon stripping and tendon incision - Operative stills

note the subtly swollen right tendon compared to the normal left sidethe postero-medial skin incisionfull thickness flaps are raised
Note the subtly swollen right tendon compared to the normal left sideThe postero-medial skin incisionFull thickness flaps are raised
the paratenon layer is identifiedthe paratenon dissected free. it is thickened and inflamed. note the underlying tendon and its tightly packed longitudinal fibresthe paratenon being stripped from the tendon. note how the quality of the tendon changes to the left hand side .it becomes whiter, swollen and the fibres less distinct. this is an early tendinopathya close up view of the degenerate section of the tendon
The paratenon layer is identifiedThe paratenon dissected free. It is thickened and inflamed. Note the underlying tendon and its tightly packed longitudinal fibresThe paratenon being stripped from the tendon. Note how the quality of the tendon changes to the left hand side .It becomes whiter, swollen and the fibres less distinct. This is an early tendinopathyA close up view of the degenerate section of the tendon
longitudinal incisions through the unhealthy tendon, in the line of its fibres
Longitudinal incisions through the unhealthy tendon, in the line of its fibres


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