{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T23:42:55Z","timestamp":1776814975995,"version":"3.51.2"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Musculoskelet Radiol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tendinopathy is very common in the foot and ankle. Achilles tendinopathy is a painful overuse injury that often occurs in athletes, especially those who participate in running and jumping sports. Plantar fasciitis is the most frequent cause of plantar pain in the adult heel. Initial treatment of these conditions is conservative. However, in some cases symptoms only improve slowly, and many cases are intractable. When conservative management fails, ultrasonography guided injections are indicated. We discuss the main interventions performed in the foot and ankle for Achilles tendinopathy, retrocalcaneal bursitis, and plantar fasciitis. We describe the different agents that can be used and the various ultrasonography-guided procedures that offer technical and practical information to improve daily clinical practice.<\/jats:p>","DOI":"10.1055\/s-0043-1766095","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T22:58:51Z","timestamp":1685055531000},"page":"351-366","source":"Crossref","is-referenced-by-count":4,"title":["Ultrasonography-guided Intervention in the Achilles Tendon and Plantar Fascia"],"prefix":"10.1055","volume":"27","author":[{"given":"Silvia","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Radiology, Cl\u00ednica Rotger, Palma de Mallorca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier Gomez","family":"Mori\u00f1igo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Cl\u00ednica Rotger, Palma de Mallorca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"438","DOI":"10.4085\/1062-6050-356-19","article-title":"Current clinical concepts: conservative management of Achilles tendinopathy","volume":"55","author":"K G Silbernagel","year":"2020","journal-title":"J Athl Train"},{"issue":"08","key":"ref2","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/S0749-8063(98)70021-0","article-title":"Overuse tendon conditions: time to change a confusing terminology","volume":"14","author":"N Maffulli","year":"1998","journal-title":"Arthroscopy"},{"issue":"20","key":"ref5","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1136\/bjsports-2020-103867","article-title":"Dutch multidisciplinary guideline on Achilles tendinopathy","volume":"55","author":"R J de Vos","year":"2021","journal-title":"Br J Sports Med"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1136\/bjsm.2007.035543","article-title":"A treatment algorithm for managing Achilles tendinopathy: new treatment options","volume":"41","author":"H Alfredson","year":"2007","journal-title":"Br J Sports Med"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"2325967120930567","DOI":"10.1177\/2325967120930567","article-title":"Comparative efficacy and tolerability of nonsurgical therapies for the treatment of midportion Achilles tendinopathy: a systematic review with network meta-analysis","volume":"8","author":"H C Rhim","year":"2020","journal-title":"Orthop J Sports Med"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1007\/s00330-021-08125-z","article-title":"Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)\u2014part VI, foot and ankle","volume":"32","author":"L M Sconfienza","year":"2022","journal-title":"Eur Radiol"},{"issue":"09","key":"ref9","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1177\/0363546517702862","article-title":"Effect of high-volume injection, platelet-rich plasma, and sham treatment in chronic midportion achilles tendinopathy: a randomized double-blinded prospective study","volume":"45","author":"A P Boesen","year":"2017","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1186\/s12891-017-1564-7","article-title":"Study protocol: a double blind randomised control trial of high volume image guided injections in Achilles and patellar tendinopathy in a young active population","volume":"18","author":"R M Barker-Davies","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.jsams.2009.09.007","article-title":"The short-term effects of high volume image guided injections in resistant non-insertional Achilles tendinopathy","volume":"13","author":"J Humphrey","year":"2010","journal-title":"J Sci Med Sport"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.1080\/09638280701788225","article-title":"High volume image guided injections in chronic Achilles tendinopathy","volume":"30","author":"O Chan","year":"2008","journal-title":"Disabil Rehabil"},{"issue":"09","key":"ref13","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.7863\/jum.2009.28.9.1187","article-title":"Sonographically guided percutaneous needle tenotomy for the treatment of chronic tendinosis","volume":"28","author":"J A Housner","year":"2009","journal-title":"J Ultrasound Med"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"628","DOI":"10.2214\/AJR.10.5975","article-title":"Musculoskeletal applications of platelet-rich plasma: fad or future?","volume":"196","author":"K S Lee","year":"2011","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1177\/0269215512448388","article-title":"Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial","volume":"27","author":"D W Rha","year":"2013","journal-title":"Clin Rehabil"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"e0147842","DOI":"10.1371\/journal.pone.0147842","article-title":"A pilot study evaluating the effectiveness of platelet-rich plasma therapy for treating degenerative tendinopathies: a randomized control trial with synchronous observational cohort","volume":"11","author":"M Wesner","year":"2016","journal-title":"PLoS One"},{"issue":"07","key":"ref17","first-page":"1131","article-title":"Terminology in the field of platelet concentrates for surgical use","volume":"13","author":"D M Dohan Ehrenfest","year":"2017"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1177\/0363546513494359","article-title":"Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients","volume":"42","author":"A K Mishra","year":"2014","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref19","first-page":"166","article-title":"Platelet rich plasma. A new treatment tool for the rheumatologist?","volume":"9","author":"J De La Mata","year":"2013","journal-title":"Reumatol Clin"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"26","DOI":"10.7453\/gahmj.2012.054","article-title":"Effectiveness of platelet-rich plasma injection for rotator cuff tendinopathy: a prospective open-label study","volume":"2","author":"M Scarpone","year":"2013","journal-title":"Glob Adv Health Med"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"23","DOI":"10.12688\/f1000research.2-23.v1","article-title":"Neotendon infilling of a full thickness rotator cuff foot print tear following ultrasound guided liquid platelet rich plasma injection and percutaneous tenotomy: favourable outcome up to one year","volume":"2","author":"A Doss","year":"2013","journal-title":"F1000 Res"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.pmrj.2012.12.010","article-title":"Outcomes after ultrasound-guided platelet-rich plasma injections for chronic tendinopathy: a multicenter, retrospective review","volume":"5","author":"K Mautner","year":"2013","journal-title":"PM R"},{"issue":"01","key":"ref23","doi-asserted-by":"crossref","first-page":"200","DOI":"10.4103\/2277-9175.190939","article-title":"Ultrasound guided platelet-rich plasma injection for the treatment of rotator cuff tendinopathy","volume":"5","author":"M A Tahririan","year":"2016","journal-title":"Adv Biomed Res"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1249\/MSS.0000000000001781","article-title":"Sodium hyaluronate and platelet-rich plasma for partial-thickness rotator cuff tears","volume":"51","author":"Y U Cai","year":"2019","journal-title":"Med Sci Sports Exerc"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"954","DOI":"10.2214\/AJR.19.22331","article-title":"Influence of acromial morphologic characteristics and acromioclavicular arthrosis on the effect of platelet-rich plasma on partial tears of the supraspinatus tendon","volume":"215","author":"J D Bern\u00e1-Mestre","year":"2020","journal-title":"AJR Am J Roentgenol"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1001\/jama.2009.1986","article-title":"Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial","volume":"303","author":"R J de Vos","year":"2010","journal-title":"JAMA"},{"issue":"06","key":"ref27","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1007\/s00296-016-3440-4","article-title":"Ultrasound-guided retro-calcaneal bursa corticosteroid injection for refractory Achilles tendinitis in patients with seronegative spondyloarthropathy: efficacy and follow-up study","volume":"36","author":"P Srivastava","year":"2016","journal-title":"Rheumatol Int"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1016\/S0140-6736(10)61160-9","article-title":"Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials","volume":"376","author":"B K Coombes","year":"2010","journal-title":"Lancet"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"20150577","DOI":"10.1259\/bjr.20150577","article-title":"Ultrasound-guided intervention in the ankle and foot","volume":"89","author":"E E Drakonaki","year":"2016","journal-title":"Br J Radiol"},{"issue":"03","key":"ref30","doi-asserted-by":"crossref","first-page":"e92671","DOI":"10.1371\/journal.pone.0092671","article-title":"Ultrasound- versus palpation-guided injection of corticosteroid for plantar fasciitis: a meta-analysis","volume":"9","author":"Z Li","year":"2014","journal-title":"PLoS One"},{"key":"ref31","volume-title":"Ultrasound Guided Musculoskeletal Procedures in Sports Medicine","author":"D Sirisena","year":"2021"},{"issue":"06","key":"ref32","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1111\/j.1440-1673.2006.01622.x","article-title":"Achilles tendon imaging","volume":"50","author":"C A Harris","year":"2006","journal-title":"Australas Radiol"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"100342","DOI":"10.1016\/j.ejro.2021.100342","article-title":"MRI of the Achilles tendon\u2014a comprehensive pictorial review. Part one","volume":"8","author":"P Szaro","year":"2021","journal-title":"Eur J Radiol Open"},{"issue":"05","key":"ref34","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1055\/s-0036-1594285","article-title":"Ultrasound-guided percutaneous irrigation of calcific tendinopathy","volume":"20","author":"C Messina","year":"2016","journal-title":"Semin Musculoskelet Radiol"},{"issue":"04","key":"ref35","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00590-017-1957-1","article-title":"Effectiveness of dry needling and high-volume image-guided injection in the management of chronic mid-portion Achilles tendinopathy in adult population: a literature review","volume":"27","author":"F A Chaudhry","year":"2017","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref36","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-98256-0","volume-title":"Musculoskeletal Ultrasound-Guided Regenerative Medicine","author":"Y El Miedany","year":"2022"},{"issue":"05","key":"ref37","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1053\/j.jfas.2016.04.017","article-title":"A comparison of two different high-volume image-guided injection procedures for patients with chronic noninsertional Achilles tendinopathy: a pragmatic retrospective cohort study","volume":"55","author":"P C Wheeler","year":"2016","journal-title":"J Foot Ankle Surg"},{"issue":"04","key":"ref38","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1017\/S0033291700009934","article-title":"Clinical applications of visual analogue scales: a critical review","volume":"18","author":"H M McCormack","year":"1988","journal-title":"Psychol Med"},{"issue":"05","key":"ref39","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1136\/bjsm.35.5.335","article-title":"The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy","volume":"35","author":"J M Robinson","year":"2001","journal-title":"Br J Sports Med"},{"issue":"07","key":"ref40","doi-asserted-by":"crossref","first-page":"585","DOI":"10.2165\/00007256-200636070-00004","article-title":"The pathomechanics of plantar fasciitis","volume":"36","author":"S C Wearing","year":"2006","journal-title":"Sports Med"},{"issue":"03","key":"ref41","doi-asserted-by":"crossref","first-page":"234","DOI":"10.7547\/87507315-93-3-234","article-title":"Plantar fasciitis: a degenerative process (fasciosis) without inflammation","volume":"93","author":"H Lemont","year":"2003","journal-title":"J Am Podiatr Med Assoc"},{"issue":"01","key":"ref42","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/JSM.0b013e31827e9ec9","article-title":"Short-term benefits of ultrasound-guided corticosteroid injection in plantar fasciitis","volume":"23","author":"S D Schulhofer","year":"2013","journal-title":"Clin J Sport Med"},{"issue":"07","key":"ref43","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1097\/PHM.0b013e318278a831","article-title":"Effectiveness of device-assisted ultrasound-guided steroid injection for treating plantar fasciitis","volume":"92","author":"C M Chen","year":"2013","journal-title":"Am J Phys Med Rehabil"},{"issue":"01","key":"ref44","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00167-018-5234-6","article-title":"Corticosteroid injection is the best treatment in plantar fasciitis if combined with controlled training","volume":"27","author":"F E Johannsen","year":"2019","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"04","key":"ref45","doi-asserted-by":"crossref","first-page":"2325967120915704","DOI":"10.1177\/2325967120915704","article-title":"Platelet-rich plasma versus corticosteroids for plantar fasciitis: a systematic review of randomized controlled trials","volume":"8","author":"E T Hurley","year":"2020","journal-title":"Orthop J Sports Med"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jor.2020.03.053","article-title":"Therapeutic efficacy of platelet-rich plasma injection compared to corticosteroid injection in plantar fasciitis: A systematic review and meta-analysis","volume":"22","author":"W Mohammed","year":"2020","journal-title":"J Orthop"},{"issue":"03","key":"ref47","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1053\/j.jfas.2019.10.003","article-title":"Platelet-rich plasma versus corticosteroids in the treatment of chronic plantar fasciitis: a systematic review and meta-analysis of prospective comparative studies","volume":"59","author":"N Alkhatib","year":"2020","journal-title":"J Foot Ankle Surg"},{"issue":"07","key":"ref48","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/107110079401500701","article-title":"Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes","volume":"15","author":"H B Kitaoka","year":"1994","journal-title":"Foot Ankle Int"}],"container-title":["Seminars in Musculoskeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1766095.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T03:53:47Z","timestamp":1729482827000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1766095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,25]]},"references-count":46,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,5,25]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1766095","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1089-7860","1098-898X"],"issn-type":[{"value":"1089-7860","type":"print"},{"value":"1098-898X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,25]]}}}