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Papers of the Week

2022 Oct 21

BMJ Mil Health

Poor association between tendon structure and self-reported symptoms following conservative management in active soldiers with mid-portion Achilles tendinopathy.


Paantjens MA, Helmhout PH, Backx FJG, Martens MTAW, van Dongen JPA, Bakker EWP
BMJ Mil Health. 2022 Oct 21.
PMID: 36270734.


Mid-portion Achilles tendinopathy (mid-AT) is currently the preferred term for persistent Achilles tendon pain, defined as located 2-7 cm proximal to the calcaneus, and with loss of function related to mechanical loading. Histologically, mid-AT is considered to represent a degenerative condition. Therefore, monitoring of tendon structure additional to pain and function may be warranted, to prevent progression of degeneration or even tendon rupture. The aim of this study was to determine the association between pain and function, relative to the Achilles tendon structure, in soldiers treated with a conservative programme for mid-AT.