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  • Author: Manuel Monteagudo x
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Manuel Monteagudo Hospital Universitario Quironsalud Madrid, Madrid, Spain

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Ernesto Maceira Hospital Universitario Quironsalud Madrid, Madrid, Spain

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Pilar Martinez de Albornoz Hospital Universitario Quironsalud Madrid, Madrid, Spain

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  • Tendoscopy is an apparently safe and reliable procedure to manage some foot and ankle disorders.

  • The most common foot and ankle tendoscopies are: Achilles; peroneal; and posterior tibial tendon.

  • Tendoscopy may be used as an adjacent procedure to other techniques.

  • Caution is recommended to avoid neurovascular injuries.

  • Predominantly level IV and V studies are found in the literature, with no level I studies still available.

  • There are many promising and evolving endoscopic techniques for tendinopathies around the foot and ankle, but studies of higher levels of evidence are needed to strongly recommend these procedures.

Cite this article: EFORT Open Rev 2016;1:440-447. DOI: 10.1302/2058-5241.160028

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Manuel Monteagudo Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Pilar Martínez de Albornoz Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Borja Gutierrez Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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José Tabuenca Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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Ignacio Álvarez Orthopaedic Foot and Ankle Unit, Hospital Universitario Quironsalud Madrid, Spain; Faculty of Medicine, UEM Madrid, Spain

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  • Plantar fasciopathy is very prevalent, affecting one in ten people in their lifetime.

  • Around 90% of cases will resolve within 12 months with conservative treatment.

  • Gastrocnemius tightness has been associated with dorsiflexion stiffness of the ankle and plantar fascia injury.

  • The use of eccentric calf stretching with additional stretches for the fascia is possibly the non-operative treatment of choice for chronic plantar fasciopathy.

  • Medial open release of approximately the medial third of the fascia and release of the first branch of the lateral plantar nerve has been the most accepted surgical treatment for years.

  • Isolated proximal medial gastrocnemius release has been reported for refractory plantar fasciopathy with excellent results and none of the complications of plantar fasciotomy.

Cite this article: EFORT Open Rev 2018;3:485-493. DOI: 10.1302/2058-5241.3.170080.

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