{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:50:44Z","timestamp":1787737844200,"version":"build-2784847793"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T00:00:00Z","timestamp":1759017600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Ultrasound\u2010guided tenotomy and debridement is a minimally invasive treatment with a low risk of complications for individuals with chronic Achilles tendinopathy. Yet the benefits of this procedure on pain, function, and pain\u2010related psychological factors, as well as predictors of treatment success, remain understudied. A total of 56 individuals with chronic Achilles tendinopathy (mean (SD): age\u2009=\u200955.9 (11) years, BMI\u2009=\u200934.8 (8.2) kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    , women\u2009=\u200968%) underwent baseline ultrasonography, followed by ultrasound\u2010guided tenotomy and debridement, and rehabilitation. Participants reported pain (0\u201310), function (Foot and Ankle Ability Measure\u2014ADL), kinesiophobia (Tampa Scale of Kinesiophobia\u201017), and pain catastrophizing (Pain Catastrophizing Scale) at baseline and for a year following the procedure. Baseline pain was 6.1 (2.2), kinesiophobia was 40.8 (7.1), pain catastrophizing was 13.7 (10.2), and function was 55.9 (17.3). By 6 weeks, there were decreases in pain (mean change (95% CI): \u22121.9 (\u22121.1 to \u22122.6), function: 14.4 (9.3\u201319.5), kinesiophobia: \u22125 (\u22123.2 to \u22126.9), and pain catastrophizing: \u22127 (\u22124.9 to \u22129.1)). Patient\u2010reported outcomes were similar at 52 weeks (pain: \u22122.99 (\u22122.2 to \u22123.8), function: 25.1 (19.6\u201330.7), kinesiophobia: \u22127.5 (\u22126.1 to \u221211.4), catastrophizing: \u22128.5 (\u22126.1 to \u221210.8)) following the procedure. Haglund deformity (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    : \u221213.1 (\u22120.6 to \u221225.5)) and intratendinous calcifications (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    : \u221214.7 (\u22121.4 to \u221228.1)) were associated with smaller improvements in function. No procedure\u2010related complications were reported. Clinical significance: Ultrasound\u2010guided tenotomy and debridement for chronic Achilles tendinopathy may provide positive outcomes for pain, function, and pain\u2010related psychological factors at 6\u2010week and 1\u2010year follow\u2010up. Haglund deformity and tendon calcifications were associated with smaller improvements in function.\n                  <\/jats:p>","DOI":"10.1002\/jor.70071","type":"journal-article","created":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T07:34:02Z","timestamp":1759044842000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of Ultrasound\u2010Guided Tenotomy and Debridement on Pain, Function, and Psychological Factors for Achilles Tendinopathy: A Prospective Cohort Study"],"prefix":"10.1002","volume":"44","author":[{"given":"Mederic M.","family":"Hall","sequence":"first","affiliation":[{"name":"Department of Orthopedics &amp; Rehabilitation and Department of Sports Medicine University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth L.","family":"Chimenti","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy &amp; Rehabilitation Sciences University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica F.","family":"Danielson","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Translational Science University of Iowa Hospitals and Clinics Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5378-9224","authenticated-orcid":false,"given":"Timothy R.","family":"Fleagle","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy &amp; Rehabilitation Sciences University of Iowa Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-020-00234-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2024.0302"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-103867"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2011-090035"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720943836"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2024.103916"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.06.015"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512470625"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.07.017"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14835"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100894"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2021.04.010"},{"key":"e_1_2_10_14_1","first-page":"285","article-title":"Baseline Kinesiophobia and Pain Catastrophizing Scores Predict Prolonged Postoperative Shoulder Pain","volume":"25","author":"Suer M.","year":"2022","journal-title":"Pain Physician"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.01479"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4201-3"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000002720"},{"key":"e_1_2_10_18_1","unstructured":"E. 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