Portal de Periódicos da CAPES

Tendinopathy of tendo Achillis

2002; British Editorial Society of Bone & Joint Surgery; Volume: 84; Issue: 1 Linguagem: Inglês

10.1302/0301-620x.84b1.12792

2044-5377

Nicola Maffulli, Deiary F. Kader,

Shoulder Injury and Treatment

In the past three decades, the incidence of overuse injury has risen because of greater participation in recreational and competitive sporting activities.1 Excessive repetitive overload of tendo Achillis is regarded as the main pathological stimulus which leads to tendinopathy.2 In a recent study, however, 31% of 58 patients with this condition did not participate in vigorous physical activity.3In this article, we have concentrated on tendinopathy of the main body of tendo Achillis.We have not dealt with Haglund's condition, insertional tendinopathy, or with lesions of the myotendinous junction.Anatomy.The gastrocnemius muscle merges with the soleus to form tendo Achillis. 4It has a round upper part and is relatively flat in its distal 4 cm.Its fibres spiral through 90°, increasing the release of stored energy during locomotion.5