{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:14:05Z","timestamp":1780071245655,"version":"3.54.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1987,7,1]],"date-time":"1987-07-01T00:00:00Z","timestamp":552096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1987,7]]},"abstract":"<jats:p>Inflammation of the Achilles tendon and its contiguous structures is one of the most common overuse prob lems seen in runners. There are actually several etiol ogies. Involvement of the tendon itself is secondary to areas of mucinoid or fibrotic degeneration, or may be a result of a partial rupture. The sheath (or mesotenon) may also become chronically inflammed. Retrocalca neal bursitis seems to be a separate entity with hyper trophy and fibrosis of the bursa usually occurring in conjunction with a prominent posterior superior angle of the os calcis. The vast majority of patients can be successfully treated nonoperatively; however, there is a group of patients who are refractory to nonoperative management who would like to continue running, par ticularly if they are competitive.<\/jats:p>\n                  <jats:p>A retrospective review of 45 surgical cases in 37 patients was performed. All but two of these patients were competitive long-distance runners. There were 24 cases of Achilles tendinitis and\/or tenosynovitis, 14 cases with retrocalcaneal bursitis, and 7 with a combi nation of both. Mean followup was 3 years (range, 1\u00bd to 8 years). Overall there were 87% satisfactory results. Ninety-two percent of the patients with involvement with the tendon and\/or sheath had a satisfactory out come as compared with 71 % of patients with retrocal caneal bursitis. Passive dorsiflexion in the 29 unilateral cases improved from a mean of 17\u00b0 preoperatively to a mean of 25\u00b0 postoperatively. We feel that surgery offers a solution for highly motivated runners with chronic posterior heel pain who would like to continue running when conservative measures have failed.<\/jats:p>","DOI":"10.1177\/036354658701500403","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"308-315","source":"Crossref","is-referenced-by-count":192,"title":["Surgical management of Achilles tendinitis"],"prefix":"10.1177","volume":"15","author":[{"given":"Anthony A.","family":"Schepsis","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospital of Boston University Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Leach","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University Hospital of Boston University Medical Center, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1987,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/036354657600400202"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200301"},{"key":"atypb3","doi-asserted-by":"crossref","unstructured":"Fiamengo SA, Warren RF, Marshall JL, et al: Posterior heel pain associated with a calcaneal step and Achilles tendon calcification. Clin Orthop 167: 203-211, 1982","DOI":"10.1097\/00003086-198207000-00031"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197503000-00025"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/036354657800600202"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200111"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196547020-00003"},{"key":"atypb8","unstructured":"Lagergren C. , Lindholm A.: Vascular distribution in the Achilles tendon: An angiographic and micro-angiographic study. Acta Chir Scan 116: 491, 1958-1959"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1177\/036354658100900204"},{"key":"atypb10","unstructured":"Leach RE, Schepsis A.: Hind foot pain in athletes. J Musculoskel Med 2: 16-25,1985"},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Ljungquist R.: Subcutaneous partial rupture of the Achilles tendon. Acta Orthop Scand (Suppl) 113, 1968","DOI":"10.3109\/ort.1968.39.suppl-113.01"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"Schatzker J. , Branemark P.: Intravital observations on the microvascular anatomy and microcirculation of the tendon. Acta Orthop Scand (Suppl) 126, 1969","DOI":"10.3109\/ort.1969.40.suppl-126.01"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658701500403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354658701500403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:38:30Z","timestamp":1777369110000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354658701500403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1987,7]]}},"alternative-id":["10.1177\/036354658701500403"],"URL":"https:\/\/doi.org\/10.1177\/036354658701500403","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1987,7]]}}}