US-guided high-volume injection for Achilles tendinopathy
| العنوان: | US-guided high-volume injection for Achilles tendinopathy |
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| المؤلفون: | Apostolos H. Karantanas, Michail E. Klontzas, Emmanouil Koltsakis, George A. Kakkos |
| المصدر: | Journal of Ultrasonography |
| بيانات النشر: | Medical Communications Sp. z.o.o., 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Achilles tendon, Achilles tendinopathy, Radiological and Ultrasound Technology, Conservative management, neovascularity, ultrasound, business.industry, high-volume image-guided injection, Adult population, Color doppler ultrasound, medicine.disease, Tendon, Surgery, medicine.anatomical_structure, medicine, Medicine, Radiology, Nuclear Medicine and imaging, In patient, Tendinopathy, business |
| الوصف: | Achilles tendinopathy is a common overuse condition affecting the adult population. The incidence is on the rise because of greater participation of people in recreational or competitive sporting activities. Chronic Achilles tendinopathy occurs most commonly in the tendon’s mid-portion, and it is challenging to manage, leading to significant patient morbidity. Despite conservative management many patients still require surgical intervention. The mechanism underlying pain is not entirely understood; however, high-resolution color Doppler ultrasound has shown that neovascularisation could be involved. Minimally-invasive treatments for chronic Achilles tendinopathy may prevent the need for surgery when conservative methods have failed. Ultrasound provides an option to guide therapeutic interventions accurately, so that treatment is delivered to the desired site of pathology. High-volume image-guided injection is a relatively new technique where a high volume of liquid is injected between the anterior aspect of the Achilles tendon and the Kager’s fat pad, used to strip away the neovascularity and disrupt the nerve ingrowth seen in chronic cases of Achilles tendinopathy. Highvolume image-guided injection has shown promising results in terms of reducing pain and improving function in patients where conservative measures have failed. This review aims to describe the fundamental technical factors, and investigate the efficacy of high-volume image-guided injection with reference to the available literature. |
| تدمد: | 2451-070X 2084-8404 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::903c8ac475643015fd1ff1a3b23afa84 https://doi.org/10.15557/jou.2021.0021 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....903c8ac475643015fd1ff1a3b23afa84 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 2451070X 20848404 |
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