Orthopedics Book

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Achilles TendinosusAka: Achilles Tendinosis

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  1. Epidemiology
    1. More common over age 35 years
  2. Pathophysiology
    1. Degeneration of achilles tendon associated with aging
      1. Vascular compromise and microtrauma contributes
    2. Non-inflammatory diffuse achilles tendon thickening
      1. Fibrosis and calcification of achilles tendon
  3. Symptoms
    1. Often without symptoms
  4. Signs
    1. Non-tender palpable Nodule or cord at achilles tendon
  5. Differential Diagnosis
    1. See Heel Pain
    2. Achilles Tendonitis
    3. Rheumatoid Arthritis
  6. Management
    1. Same as for Achilles Tendonitis
  7. References
    1. Mazzone (2002) Am Fam Physician 65(9):1805

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