Achilles paratenonitis
Diagnosis certain
Updates to Study Attributes
Findings
was changed:
Diffuse oedema around the Achilles tendon, especially along the posterior surface and in the fat tissue in Kager's triangle.
Small fluid collection in the subtendinousretrocalcaneal (subtendinous) bursa.
The Achilles tendon itself is not thickened and shows only minor signs of tendinosis.
Updates to Case Attributes
Body
was changed:
The Achilles tendon does not possess a synovial sheath1. It is surrounded by a loose areolar tissue, called the paratenon. The paratenon is typically found in straight tendons with a high proportion of elastic fibres. It permits free movement of the tendon against the surrounding tissues. Together, the epitenon and the paratenon compose the peritendon. Hence, the term peritendonitis could be applied as well.
-<p>The <a href="/articles/calcaneal-tendon-1">Achilles tendon</a> does not possess a <a href="/articles/synovial-sheath">synovial sheath</a>. It is surrounded by a loose areolar tissue, called the <a href="/articles/paratenon">paratenon</a>. The paratenon is typically found in straight tendons with a high proportion of elastic fibres. It permits free movement of the tendon against the surrounding tissues. Together, the <a href="/articles/epitenon">epitenon</a> and the <a href="/articles/paratenon">paratenon</a> compose the <a href="/articles/peritendon">peritendon</a>. Hence, the term <a href="/articles/peritendonitis">peritendonitis</a> could be applied as well.</p>- +<p>The <a href="/articles/calcaneal-tendon-1">Achilles tendon</a> does not possess a <a href="/articles/synovial-sheath">synovial sheath</a> <sup>1</sup>. It is surrounded by a loose areolar tissue, called the <a href="/articles/paratenon">paratenon</a>. The paratenon is typically found in straight tendons with a high proportion of elastic fibres. It permits free movement of the tendon against the surrounding tissues. Together, the <a href="/articles/epitenon">epitenon</a> and the <a href="/articles/paratenon">paratenon</a> compose the <a href="/articles/peritendon">peritendon</a>. Hence, the term <a href="/articles/peritendonitis">peritendonitis</a> could be applied as well.</p>
References changed:
- 1. Maffulli N, Sharma P, Luscombe K. Achilles Tendinopathy: Aetiology and Management. J R Soc Med. 2004;97(10):472-6. <a href="https://doi.org/10.1258/jrsm.97.10.472">doi:10.1258/jrsm.97.10.472</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/15459257">Pubmed</a>
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