{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T08:01:46Z","timestamp":1785571306606,"version":"3.56.0"},"reference-count":15,"publisher":"BMJ","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2011,1,5]]},"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Treatment based on ultrasound (US) and colour Doppler (CD) findings in midportion Achilles tendinosis has shown promising results. In a randomised study on a small patient material, similar short-term clinical results were demonstrated with surgery outside the tendon and sclerosing polidocanol injections, but surgical treatment led to a faster return to activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical results of US and CD-guided mini-surgery (scraping) outside the ventral tendon in a larger patient material and, in a randomised study, compare two different techniques for surgical scraping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>103 patients (66 men, 37 women), mean age 43 years (range 24\u201377), with midportion tendinosis in 125 Achilles tendons were included. Patients from a large group (88 tendons), and a randomised study (37 tendons), were in local anaesthesia treated with a US and CD-guided new surgical approach outside the ventral tendon. All patients in the large group, and one arm of the randomised study, were treated open with a scalpel, while the other arm of the randomised study were treated percutaneously. Pain during Achilles tendon loading activity (Visual Analogue Scale (VAS)), and satisfaction with treatment, were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Before surgery, the mean VAS was 73. After surgery (follow-up mean 18 months, range 6\u201333), the mean VAS was 3 in 111 tendons (89%) from satisfied patients back in full Achilles tendon loading activity. In the randomised study, there were no significant differences in the results between open treatment with a scalpel and percutaneous treatment with a needle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>US and CD-guided scraping show good short-term results in midportion Achilles tendinosis.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsm.2010.081216","type":"journal-article","created":{"date-parts":[[2011,2,25]],"date-time":"2011-02-25T01:40:07Z","timestamp":1298598007000},"page":"407-410","source":"Crossref","is-referenced-by-count":96,"title":["Ultrasound and Doppler-guided mini-surgery to treat midportion Achilles tendinosis: results of a large material and a randomised study comparing two scraping techniques"],"prefix":"10.1136","volume":"45","author":[{"given":"H\u00e5kan","family":"Alfredson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,2,23]]},"reference":[{"key":"2024051314394137000_45.5.407.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0418-z"},{"key":"2024051314394137000_45.5.407.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.36.3.173"},{"key":"2024051314394137000_45.5.407.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-004-0585-6"},{"key":"2024051314394137000_45.5.407.4","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0278-5919(20)30479-8","article-title":"The surgical treatment of tendinitis. Clinical rationale and biologic basis.","volume":"11","author":"Leadbetter","year":"1992","journal-title":"Clin Sports Med"},{"key":"2024051314394137000_45.5.407.5","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700605"},{"key":"2024051314394137000_45.5.407.6","unstructured":"\u00c5str\u00f6m M . On the nature and etiology of chronic achilles tendinopathy [dissertation]. Lund, Sweden: University of Lund, 1997."},{"key":"2024051314394137000_45.5.407.7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1177\/03635465010290031101","article-title":"Outcome of surgery for chronic Achilles tendinopathy. A critical review.","volume":"29","author":"Tallon","year":"2001","journal-title":"Am J Sports Med"},{"key":"2024051314394137000_45.5.407.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0415-8"},{"key":"2024051314394137000_45.5.407.9","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000189"},{"key":"2024051314394137000_45.5.407.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0391-6"},{"key":"2024051314394137000_45.5.407.11","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0364-2"},{"key":"2024051314394137000_45.5.407.12","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050146"},{"key":"2024051314394137000_45.5.407.13","doi-asserted-by":"crossref","first-page":"743","DOI":"10.2214\/ajr.171.3.9725308","article-title":"Color Doppler sonography of patellar tendinosis.","volume":"171","author":"Weinberg","year":"1998","journal-title":"Am J Roentgenol"},{"key":"2024051314394137000_45.5.407.14","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0161-3"},{"key":"2024051314394137000_45.5.407.15","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1111\/j.1600-0838.2006.00543.x","article-title":"Hormone therapy is associated with smaller Achilles tendon diameter in active post-menopausal women.","volume":"17","author":"Cook","year":"2007","journal-title":"Scand J Med Sci Sports"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsm.2010.081216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T21:39:52Z","timestamp":1715636392000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsm.2010.081216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,2,23]]},"references-count":15,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2011,3,9]]},"published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1136\/bjsm.2010.081216"],"URL":"https:\/\/doi.org\/10.1136\/bjsm.2010.081216","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2,23]]}}}