{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:07:57Z","timestamp":1767650877932,"version":"3.38.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T00:00:00Z","timestamp":1246406400000},"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":["Foot Ankle Int."],"published-print":{"date-parts":[[2009,7]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Non-insertional Achilles tendinopathy is an increasing, perhaps secondary to an increase in sporting activities. Traditional open surgical procedures have been associated with a significant rate of complications. We describe a minimally invasive technique involving the release of the adherent paratenon with a peritendinous infusion of corticosteroids and present the results in a cohort of patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods:<\/jats:title><jats:p> Twenty-nine tendons (26 patients) with non-insertional Achilles tendinopathy were treated with the above technique. Assessments were made prospectively using an adapted classification of Achilles tendon disability and a visual analogue scale for pain. Patients were interviewed in person or by telephone at an average of 14 (range, 6 to 30) months after surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The average pain score (VAS) improved from 8.7 to 2.4 ( p &lt; 0.001) and the average Puddu level of disability improved from 4.9 to 1.7 ( p &lt; 0.001). Seventy-five percent of patients had a good or excellent outcome with 20% having sufficient improvement not to pursue further medical attention for their tendinopathy. There was a 7% rate of minor complications due to delayed wound healing which resolved spontaneously and did not affect the rehabilitation or the recovery of the patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> A minimally invasive circumferential paratenon release and peritendinous steroid infusion was a simple method to treat non-insertional Achilles tendinopathy and had low morbidity in our series. This technique has become our preferred primary surgical intervention for this condition. Level of Evidence: IV, Retrospective Case Series <\/jats:p><\/jats:sec>","DOI":"10.3113\/fai.2009.0680","type":"journal-article","created":{"date-parts":[[2009,7,11]],"date-time":"2009-07-11T13:04:08Z","timestamp":1247317448000},"page":"680-685","source":"Crossref","is-referenced-by-count":19,"title":["Minimally Invasive Paratenon Release for Non-Insertional Achilles Tendinopathy"],"prefix":"10.1177","volume":"30","author":[{"given":"Venunatha","family":"Naidu","sequence":"first","affiliation":[{"name":"London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Abbassian","sequence":"additional","affiliation":[{"name":"London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic","family":"Nielsen","sequence":"additional","affiliation":[{"name":"London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raju","family":"Uppalapati","sequence":"additional","affiliation":[{"name":"London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anupkumar","family":"Shetty","sequence":"additional","affiliation":[{"name":"London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"key":"bibr1-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.035543"},{"key":"bibr2-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-004-0585-6"},{"key":"bibr3-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050184"},{"key":"bibr4-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199507000-00021"},{"key":"bibr5-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.3109\/17453679808999056"},{"key":"bibr6-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2006.027334"},{"issue":"2","key":"bibr7-FAI.2009.0680","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1080\/03009740310004126","volume":"33","author":"Fredberg U","year":"2004","journal-title":"Scand J Rheumatol"},{"key":"bibr8-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0620"},{"key":"bibr9-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200404000-00019"},{"key":"bibr10-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600611"},{"key":"bibr11-FAI.2009.0680","first-page":"208","author":"Leach RE","year":"1992","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"bibr12-FAI.2009.0680","first-page":"288","volume":"6","author":"McShane JM","year":"2007","journal-title":"Curr Sports Med Rep"},{"key":"bibr13-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(02)00056-6"},{"key":"bibr14-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.36.3.178"},{"key":"bibr15-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280050301"},{"key":"bibr16-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280012501"},{"key":"bibr17-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/036354657600400404"},{"key":"bibr18-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/107110079701800906"},{"key":"bibr19-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199610000-00007"},{"key":"bibr20-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290031101"},{"key":"bibr21-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1249\/00005768-200204000-00002"},{"key":"bibr22-FAI.2009.0680","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-003-0491-2"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2009.0680","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3113\/FAI.2009.0680","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3113\/FAI.2009.0680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T03:10:31Z","timestamp":1741662631000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3113\/FAI.2009.0680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7]]},"references-count":22,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2009,7]]}},"alternative-id":["10.3113\/FAI.2009.0680"],"URL":"https:\/\/doi.org\/10.3113\/fai.2009.0680","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"type":"print","value":"1071-1007"},{"type":"electronic","value":"1944-7876"}],"subject":[],"published":{"date-parts":[[2009,7]]}}}