Summary: The algometry proved to be a simple and reliable method for diagnosing AIT. Values for PT under 4.08kg/f were found predictors of the disease.

Introduction

Diagnosis of Achilles insertional tendinopathies (AIT) is based on pain by tendon palpation. However, there is no consensus or standard regarding the amount of force to be used during the evaluation. The algometry is a mechanism of measuring the pressure applied in a specific region and can be a technique for determining diagnosis values.

Goal:
To determine a cut-off value for Pain Threshold (PT) in the assessment of AIT.

Design
This is a prospective case-control study of diagnostic accuracy, to develop a diagnostic criterion.

Methods

Forty asymptomatic individuals and forty patients with insertional Achilles tendinopathy, matched by age and sex, were evaluated, and submitted to algometry for PT and for Visual Analogical Scale (VAS) levels with 3kg/f at the insertion of the calcaneal tendon by two different evaluators. Inter-observer reproducibility was accessed through the interclass correlation index (ICC). Sensitivity and specificity calculation of PT and of VAS were calculated and plotted on a ROC (Receiver Operator Characteristic) curve.

Results

The lowest ICC found was 0.788. Regarding the diagnosis through TP, the 4.08 kg/f mark showed the best relation between sensitivity and specificity (92.5% and 92.5%, respectively). Algometry values lower than 4.08 were considered positive for disease. For the diagnosis of TIA through VAS with 3kg/f, the value of 2.98 was determined (sensitivity of 92.5% and specificity of 97.5%).

Discussion

The algometry showed to be a simple and reliable method for diagnosing AIT. Values for PT under 4.08kg/f were found predictors of the disease.

More 2021 Congress Ankle/Foot Abstract Presentations

Estimation of Patient Acceptable Symptom State (PASS) and Treatment Failure (TF) Threshold Values for the Achilles Tendon Total Rupture Score (ATRS) at 6 Months, 1 Year and 2 Years After Acute Achilles Tendon Rupture. ePoster Presentation Allan Cramer, MD, PhD, DENMARK Lina Holm Ingelsrud, PT, MSc, DENMARK Maria Swennergren Hansen, PT, PhD, DENMARK Per Hölmich, DMSc, Prof., DENMARK Kristoffer W. Barfod, MD, PhD, DENMARK
Insertional Achilles Tendinopathy – A Review Of Current Evidence and a Proposed Management Protocol ePoster Presentation Mothana Gawad, MBBS, UNITED KINGDOM Anthony Gould, MBBS, UNITED KINGDOM Jonathan Houghton, MBBS BSc DipSEM DipUS FRCP FFSEM, UNITED KINGDOM James D. Calder, OBE, MBBS, MD, PhD, FRCS, FFSEM(UK), UNITED KINGDOM John Grice, Mbbs MSc SEM FRCS, UNITED KINGDOM
Clinical Outcomes of Nano Arthroscopy in the Office Setting for the Treatment of Posterior Ankle Impingement Abstract Presentation 5 minutes Nathaniel P Mercer, MS, UNITED STATES John F Dankert, MD, PhD, UNITED STATES Alan P. Samsonov, BS, UNITED STATES Tobias Stornebrink, MD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS John G. Kennedy, MD, FRCS, UNITED STATES
Influence Of Stem Cells Application During Surgery On The Improvement Of Vertical Jump In Patients After Achilles Tendon Rupture Abstract Presentation 4 minutes Magdalena Syrek, MPT, POLAND Urszula E. Zdanowicz, MD, POLAND Robert Smigielski, MD, PhD, POLAND Michal Staniszewski, PhD, POLAND
Arthroscopic Posterior Tibial Nerve Neurolysis Abstract Presentation 4 minutes Ahmad Ghabcha, MD, FRANCE Nicolas Baudrier, MD, FRANCE Alexandre Hardy, MD, FRANCE Thomas Bauer, MD, PhD, FRANCE
Outcomes And Complications Of Open Vs. Minimally Invasive Surgical Repair Of Acute Achilles Tendon Rupture. A Systematic Review And Meta-Analysis Of Randomized Controlled Trials. Abstract Presentation 5 minutes Ahmed Khalil Attia, MD, UNITED STATES Karim Mahmoud, MD, UNITED STATES Pieter D'Hooghe, MD PhD, QATAR Jason Tyler Bariteau, MD Sameh (Sam) A Labib, MD, UNITED STATES Mark Myerson, MD, UNITED STATES
Alignment Of The Hindfoot Following Total Knee Arthroplasty: A Systematic Review ePoster Presentation James J Butler, MB BCh, UNITED STATES Nathaniel P Mercer, MS, UNITED STATES Eoghan T. Hurley, MB, BCh, MCh, IRELAND John G. Kennedy, MD, FRCS, UNITED STATES
Clinical Outcomes Of Nano Arthroscopy In The Office Setting For The Treatment Of Anterior Ankle Impingement Abstract Presentation 5 minutes Christopher Angelo Colasanti, MD, UNITED STATES Nathaniel P Mercer, MS, UNITED STATES Jeremie V Garcia, NP, MSN, UNITED STATES Tobias Stornebrink, MD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS John G. Kennedy, MD, FRCS, UNITED STATES
Endoscopic Flexor Hallucis Longus Transfer For The Management Of Acute Achilles Tendon Ruptures. A Prospective Case Series Report With A Minimum Of Eighteen Months Follow Up. ePoster Presentation Nasef Mohamed N. Abdellatif, MD, PhD., EGYPT Jorge Pablo Batista, MD, ARGENTINA Javier Del Vecchio, MD, MBA, ARGENTINA Pedro Diniz, MD PhD, PORTUGAL Hélder M. D. Pereira, Prof.,MD, PhD., PORTUGAL
Does Small Posterior Malleolus Fracture Osteosynthesis In Trimalleolar Ankle Fractures Have Significantly Decrease Trans-Syndesmotic Screw Need? Abstract Presentation 3 minutes Hugo Marques Ribeiro, MD, PORTUGAL António Mendes Serrano, MD, PORTUGAL João Silva, MD, PORTUGAL Raquel Teixeira, Dra., PORTUGAL Isabel Rosa, Dra., PORTUGAL
Correlation Of Tibial And Femoral Tunnel Size With Pet MRI After ACL Reconstruction Abstract Presentation 5 minutes Juliana Andrade, MD, PORTUGAL Renato Andrade, BSc, PORTUGAL Francisco Xará-Leite, MD, PORTUGAL Cristina Valente, PhD, PORTUGAL Pedro Pinho, MD, PORTUGAL Joni L. Soares Nunes, MD, PORTUGAL Daniela Dantas, BSc, PORTUGAL Adriana Gonçalves , BSc, PORTUGAL Tiago Oliveira, BSc, PORTUGAL Bruno S. Pereira, MD, PhD, Prof., PORTUGAL João Espregueira-Mendes, MD, PhD, PORTUGAL
Clinical outcomes and complications of Percutaneous Achilles Repair System versus isolated endoscopic Flexor hallucis longus tendon transfer in the management of acute achilles tendon ruptures. A retrospective case series report with a minimum of 30 month Abstract Presentation 5 minutes Nasef Mohamed N. Abdellatif, MD, PhD., EGYPT Jorge Pablo Batista, MD, ARGENTINA
Deltoid Ligament Arthroscopic Repair In Ankle Fractures: Case Series ePoster Presentation Nacime Salomao Barbachan Mansur, MD, PhD, UNITED STATES Fernando Cepollina Raduan, MD, UNITED STATES André Vitor Keber Cavalcanti Lemos, MD, MSc, BRAZIL Daniel Baumfeld, MD, PhD, BRAZIL Tiago S. Baumfeld, MD, BRAZIL Marcelo Prado, MD, BRAZIL Caio Augusto De Souza Nery, Prof. , BRAZIL
Arthroscopic Os Trigonum En-Bloc Removal Outcomes At 6-Month Follow-Up Are Better Compared To Stieda's Process Resection In Posterior Ankle Impingement Syndrome Patients: A Prospective Comparative Study ePoster Presentation Theodorakys Marín Fermín, MD, VENEZUELA Panagiotis Symeonidis, MD, PhD, GREECE Emmanouil Papakostas, MD, FEBSM, QATAR Maria Tsatlidou, MD, GREECE Ioannis Terzidis, Prof., MD, PhD, BSc, FEBSM, GREECE Pericles P. Papadopoulos, Prof., GREECE
Percutaneous Achilles Tendon Reconstruction With A Central Turndown Flap And Semitendinosus Augmentation, Wiroc 2019, Mumbai. ePoster Presentation Ghanshyam Kakadiya, MBBS, MS Orthopaedic, DNB, FISS, INDIA
Is Platelet Rich Plasma Injection Is More Effective Than Steroid Injection In Reducing Plantar Fascia Thickness And Symptoms In The Treatment Of Chronic Plantar Fasciitis? Abstract Presentation 4 minutes Prasad Soraganvi, MBBS, MS, DNB, MRCS, SICOT-dip, INDIA Raghavendra Raju, MBBS,MS, INDIA
Achilles Tendon Repair: Can Patients Read, Understand, and Act on Online Educational Resources? ePoster Presentation Alan Shamrock, MD, UNITED STATES Burke Gao, MD, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES John E Femino, MD, UNITED STATES Cesar de Cesar Netto, MD, UNITED STATES Kyle R. Duchman, MD, UNITED STATES
Additional Inferior Extensor Retinaculum Augmentation after All-inside Arthroscopic Anterior Talofibular Ligament Repair for Chronic Ankle Instability Is Not Necessary Abstract Presentation 4 minutes Sung Hyun Lee, Prof., KOREA, REPUBLIC OF Bong Jun Jang, MD, KOREA, REPUBLIC OF
Isokinetic Foot Strength After Peroneus Longus Tendon Autograft Harvest Abstract Presentation 5 minutes Arumugam Sivaraman, MS(Orth), AB(IM)(USA), FRCS(Glasg), INDIA Suresh Perumal, MS(Orth), INDIA Arvind Shanmugam, MD, INDIA Prakash Ayyadurai, MS, INDIA
Heel-Rise Height (HRH) Shows Better Capability Than Achilles Tendon Resting Angle (ATRA) in Reflecting Patient Reported Outcome Measures and Return to Previous Activities One Year After Acute Achilles Tendon Rupture. ePoster Presentation Allan Cramer, MD, PhD, DENMARK Maria Swennergren Hansen, PT, PhD, DENMARK Per Hölmich, DMSc, Prof., DENMARK Kristoffer W. Barfod, MD, PhD, DENMARK
Percutaneous Repair of The Acute Achilles Tendon Rupture Allows a Faster Return to Working Activities Compared to Open and Mini-Open Repair ePoster Presentation Artur Santos , MD, PORTUGAL Pedro Pinho, MD, PORTUGAL Renato Andrade, BSc, PORTUGAL Guilherme França, MD, PORTUGAL Cristina Valente, PhD, PORTUGAL Joni L. Soares Nunes, MD, PORTUGAL João Espregueira-Mendes, MD, PhD, PORTUGAL Bruno S. Pereira, MD, PhD, Prof., PORTUGAL
Return to Sports and Clinical Outcomes in Suture-Tape Augmentation for Ankle Instability – A Systematic Review ePoster Presentation Ajay C Kanakamedala, MD, UNITED STATES Nathaniel P Mercer, MS, UNITED STATES Alan P. Samsonov, BS, UNITED STATES Eoghan T. Hurley, MB, BCh, MCh, IRELAND Raymond J. Walls, MD, FRCS(Tr&Orth), FAAOS, UNITED STATES John G. Kennedy, MD, FRCS, UNITED STATES
Osteochondral Lesions Of The Talus: Factors Predictive Of Cartilage Integrity Abstract Presentation 5 minutes Crystal A. Perkins, MD, UNITED STATES John Erickson, DO, UNITED STATES Kiery Braithwaite, MD, UNITED STATES Michael T. Busch, MD, UNITED STATES Cliff Willimon, MD, UNITED STATES
Is Platelet-Rich Plasma Injection More Effective Than Steroid Injection In The Treatment Of Chronic Retrocalcaneal Bursitis In Achieving Long-Term Relief? Abstract Presentation 4 minutes Prasad Soraganvi, MBBS, MS, DNB, MRCS, SICOT-dip, INDIA Raghavendra Raju, MBBS,MS, INDIA
Arthroscopic Treatment for Anterolateral Impingement of the Ankle: Systematic Review and Exploration of Evidence About Role of Ankle Instability Abstract Presentation 5 minutes Mai Katakura, MD, PhD, JAPAN Haruki Odagiri, MD, JAPAN James D. Calder, OBE, MBBS, MD, PhD, FRCS, FFSEM(UK), UNITED KINGDOM Stéphane Guillo, MD, FRANCE
Endoscopic Fhl Transfer For Acute Achilles Tendon Rupture: A Hybrid Model Of Treatment ePoster Presentation Apostolos Polyzos, MD, GREECE Alexandros Eleftheropoulos, MD, GREECE
Physical Activity during the COVID-19 Lockdown: Increased Sport Injury Incidence and Reduction of Gender Injury Ratio Abstract Presentation 6 minutes Elad Spitzer, MD, ISRAEL Nevo Zeira, B.Sc. and M.Sc. in biotechnology, ISRAEL Lilach Gavish, PhD, MPH, ISRAEL
Arthroscopic Debridement of Osteochondral Lesions of The Talus: A Systematic Review. ePoster Presentation Theodorakys Marín Fermín, MD, VENEZUELA Jean Michel Hovsepian, MD, GERMANY Pieter D'Hooghe, MD PhD, QATAR Emmanouil Papakostas, MD, FEBSM, QATAR
Predictors Of Outcomes Of Microfracture For Osteochondral Lesions Of The Talus Abstract Presentation 3 minutes Yoshiharu Shimozono, MD, JAPAN John F Dankert, MD, PhD, UNITED STATES Timothy W. Deyer, MD, UNITED STATES Nathaniel P Mercer, MS, UNITED STATES John G. Kennedy, MD, FRCS, UNITED STATES
Role of Human Amniotic Membrane and PRF Membrane in Achilles Tendon Repair: A Comparative Clinico – Radiological Study Abstract Presentation 4 minutes Amit Lakhani, MS, DNB, MRCPS(Glassg), MNAS, INDIA Dr Ena Sharma, MDS, INDIA
Clinical And Radiological Outcomes Of Autologous Osteochondral Transplantation With And Without Micronized Allograft Cartilage Matrix Augmentation For Osteochondral Lesions Of The Talus ePoster Presentation Nathaniel P Mercer, MS, UNITED STATES Alan P. Samsonov, BS, UNITED STATES John G. Kennedy, MD, FRCS, UNITED STATES
Autologous Matrix-Induced Chondrogenesis (AMIC) With Concomitant Lateral Ligament Stabilization For Osteochondral Lesions Of The Talus In Patients With Ankle Instability Abstract Presentation 5 minutes Jakob Ackermann, MD, SWITZERLAND Fabio A Casari, MD, SWITZERLAND Christoph Germann, MD, SWITZERLAND Lizzy Weigelt, MD, SWITZERLAND Stephan Hermann Wirth, MD, SWITZERLAND Arnd Viehöfer, MD, SWITZERLAND
Precision Calcaneal Slide Osteotomy ePoster Presentation Naren G. Gurbani, MD; FACS; FAAOS, UNITED STATES Ajay Gurbani , MD, UNITED STATES
Utilization of Arthroscopy During Ankle Fracture Fixation among Early Career Surgeons: An Evaluation of the American Board of Orthopedic Surgery Part II Database ePoster Presentation Alan Shamrock, MD, UNITED STATES Christopher Carender, MD, UNITED STATES Annunziato Amendola, MD, UNITED STATES Natalie Glass, PhD, UNITED STATES Kyle R. Duchman, MD, UNITED STATES
Predisposing Factors for Posttraumatic Osteoarthritis of Ankle Joint: under 50 years old patients with minimum follow up of 5 years Abstract Presentation 3 minutes Sung Hyun Lee, Prof., KOREA, REPUBLIC OF Bong Jun Jang, MD, KOREA, REPUBLIC OF
Postoperative Pain And Opioid Use Following Surgical Treatment Of Ankle Fractures ePoster Presentation Jacob Boersma, MD, UNITED STATES Michael Pryor, UNITED STATES
Calcaneal Positioning In Equinus Immobilization Of The Ankle Joint. A Comparison Of Common Orthoses Used In The Treatment Of Acute Achilles Tendon Ruptures Abstract Presentation 5 minutes Rasmus Kramer Mikkelsen, MD, DENMARK Sanja Somodi, MD, DENMARK Per Hölmich, DMSc, Prof., DENMARK Kristoffer W. Barfod, MD, PhD, DENMARK
Hemiarthroplasty Of The Ankle Joint ePoster Presentation Manuel Jose Pellegrini, MD, CHILE Ana Inés Butteri, MD, CHILE Felipe Chaparro Ravazzano, MD, CHILE Giovanni Michelle Carcuro, MD, CHILE Cristian ALEJANDRO Ortiz, MD, CHILE Aaron Cortes, PhD, CHILE
Endoscopic flexor hallucis longus transfer for the management of Acute Achilles tendon ruptures in active professional Soccer players. A Prospective Case Series Report With A Minimum Of 2 Years Follow Up. ePoster Presentation Nasef Mohamed N. Abdellatif, MD, PhD., EGYPT Jorge Pablo Batista, MD, ARGENTINA
Assessing The Role Of MOCART Score 1 And 2.0 For Patients After Autologous Matrix-Induced Chondrogenesis (AMIC) For Osteochondral Lesions Of The Talus (OLT) Abstract Presentation 4 minutes Fabio A. Casari , MD, SWITZERLAND Christoph Germann, MD, SWITZERLAND Lizzy Weigelt, MD, SWITZERLAND Stephan Hermann Wirth, MD, SWITZERLAND Arnd Viehöfer, MD, SWITZERLAND Jakob Ackermann, MD, SWITZERLAND
Genetic Contribution to the Etiology of Achilles Tendon Rupture. A Danish Nationwide Register Study of Twins. Abstract Presentation 5 minutes Allan Cramer, MD, PhD, DENMARK Kristoffer W. Barfod, MD, PhD, DENMARK Per Hölmich, DMSc, Prof., DENMARK Kaare Christensen, Prof., DENMARK Dorthe Almind Pedersen, Cand.scient., mathematics , DENMARK
Exercise As A Mechanical Trigger Followed By Collagenase Injections Replicating Intrinsic Factors And The Chronification Of The Pathologic Process: An Evolution Of The Animal Models Of Achilles Tendinopathy Abstract Presentation 3 minutes Cesar de Cesar Netto, MD, UNITED STATES Nacime Salomao Barbachan Mansur, MD, PhD, UNITED STATES Mario H. Lobao, MD, UNITED STATES Christopher Cychosz, MD, UNITED STATES Kyle R. Duchman, MD, UNITED STATES John E Femino, MD, UNITED STATES Kevin Dibbern, PhD, UNITED STATES Matthieu Lalevee, MD, UNITED STATES Ruth Chimenti, PhD, UNITED STATES
Accuracy Of Magnetic Resonance Imaging In Diagnosis Of Anterior Ankle Impingement ePoster Presentation Alexandria Lichtl, BA, UNITED STATES Patrick Horve, BS, UNITED STATES Alex Nhan, BS, UNITED STATES William Wang, BS, UNITED STATES Hardik Parikh, BA, UNITED STATES Shane Michael Davis, MD, UNITED STATES Christopher S. Lee, MD, MBA, UNITED STATES
The Repercussion Of The Adjuvant Use Of 2-Octil Cyanoacrylate In The Repair Of The Calcaneus Tendon: Comparative Experimental Study In Rabbits ePoster Presentation Rogerio De Andrade Gomes, MD, BRAZIL Marco Antonio Percope De Andrade, MD, PhD, BRAZIL Luiz Eduardo Moreira Teixeira, BRAZIL
Automatic Volumetric Analysys Of The Distal Tibiofibular Syndesmotic Incisura. A Case-Control Study Of Subtle Chronic Syndesmotic Instability Abstract Presentation 7 minutes Cesar de Cesar Netto, MD, UNITED STATES Nacime Salomao Barbachan Mansur, MD, PhD, UNITED STATES Francois Lintz, MD, FRANCE Kevin Dibbern, PhD, UNITED STATES Alexandre Leme Godoy-Santos, MD, PhD, BRAZIL Matthieu Lalevee, MD, UNITED STATES Donald Anderson, PhD, UNITED STATES Christopher DiGiovanni, MD

Menu

Search Filters

Diagnosis Of The Achilles Insertional Tendinopathies By Algometry

Diagnosis Of The Achilles Insertional Tendinopathies By Algometry

Introduction

Methods

Results

Discussion

More 2021 Congress Ankle/Foot Abstract Presentations

More ISAKOS 2021: Global Content

Menu

Search Filters

Sign-in to ISAKOS

Diagnosis Of The Achilles Insertional Tendinopathies By Algometry

Diagnosis Of The Achilles Insertional Tendinopathies By Algometry

Introduction

Methods

Results

Discussion

More ISAKOS 2021: Global Content