tendinopathy

Definition

Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion

Symptoms

Pain lower gluteal region

Worsened by

- sprinting

- prolonged sitting

Examination

Tender lateral ischial tuberosity

Pain with resisted knee flexion

MRI

Peritendinous edema / low grade partial tears

Definition

Inflammation of achilles tendon; insertional or noninsertional

Spectrum

Tendonitis / Tendonosis / Rupture

Anatomy

Triceps surae

- medial and lateral gastrocnemius

- soleus

- surrounded by paratenon which allows gliding and supplies nutrition

Inserts middle 1/3 calcaneal tuberosity

- 2 x 2 cm area

- 90^o rotation distally

Retrocalcaneal bursa (x2)