Non Insertional Achilles Tendinopathy
Definition
Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion
injections
Osteoarthritis
Epidemiology
Usually after 50-60 years of age
Aetiology
Primary 90% of cases
Secondary
- AVN
- trauma
- instability
Pathology
Rheumatoid Arthritis
Issues
Rotator cuff
- often deficient
Bone stock
- often deficient
Glenoid
- often posterior version
Management
Options
1. TSR
Indications
- cuff intact