Calcific spurs at the insertion of the Achilles tendon: a clinical and histological study

Johansson, Kristian Jarl Johan and Sarimo, Janne Julius and Lempainen, Lasse Lennart and Laitala-Leinonen, Tiina and Orava, Sakari Yrjö (2012) Calcific spurs at the insertion of the Achilles tendon: a clinical and histological study. M.L.T.J. Muscles, Ligaments and Tendons Journal, 2 (4). pp. 273-277. ISSN 2240-4554

article.pdf - Published Version

Download (981kB)
Official URL:


In active people, insertional calcific tendinopathy (CT) of the Achilles tendon is rare. We evaluated the results of surgical treatment for Achilles tendon CT and analyzed post-surgery Achilles tendon histological features. The study included 36 operations in 34 patients. Twenty-eight (78%) cases had a resection of a Haglund’s deformity performed. The mean age of the patients was 42 years (range=23 to 68). Thirteen of the patients were professional athletes and 20 recreational athletes. In twenty-five (69%) cases, the result of surgery was rated good, in nine cases (25%) moderate and in two (6%) cases poor. The mean age of those with a good result was 10 years lower (40 versus 50 years) than those with a moderate result (p=0.0239). Higher athletic activity was also related to a better outcome (p=0.0205). Histology samples showed fast remodellation and stem-cell activation. Surgery seemed to result in a good outcome in patients with or without a Haglund’s deformity which failed conservative treatment

Item Type: Article
Uncontrolled Keywords: Achilles tendon, achillodynia, calcific tendinopathy
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.7 Malattie del sistema muscoloscheletrico
Depositing User: Danilo Dezzi
Date Deposited: 17 Apr 2014 09:59
Last Modified: 17 Apr 2014 09:59

Actions (login required)

View Item View Item