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tendoscopy seems to be an adequate technique to allow for adhesion release and the destruction of neovessels and neonerves while preserving skin integrity. A probe or a shaver may be used to obtain adhesiolysis in chronic Achilles tendinopathy. Most
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cells. The activation of the focal adhesion kinase (FAK) – extracellular signal-regulated kinases (ERK) pathway has been implicated. Downstream effects relate to the production of COX2 protein in cell culture models. In vivo animal models have added
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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to Achilles tendinopathy and paratendinopathy involves the release of adhesions of the paratendineum, denervation of the tendon, removal of pathological peritendinous tissue and endoscopic release of the plantaris tendon. 53 The distal portal is
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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– 32 Trauma and related bleeding or posterior adhesions can also cause TTS. 13 , 30 , 33 However, in 20% of cases the aetiology of TTS is unclear, i.e. idiopathic. 23 – 26 , 34 Table 1 summarizes the main causes of TTS. Table 1. Causes of
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approach and the chance to address other injury-related pathologies such as synovitis, intra- and periarticular soft-tissue adhesions and removal of loose joint bodies ( 29 ). However, arthroscopy is associated with a high complication rate, as sensitive
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used for simple tenosynovectomy and division of adhesions. Pathological conditions Peroneal tendinosis Patients typically present with posterolateral ankle pain that worsens with activity and improves with rest. There is usually tenderness
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-inductive, properties. The key clinical utility of these materials therefore lies in their 3D porous structure that provides an osteo-conductive scaffold, which enhances the adhesion and proliferation of osteoprogenitor cells, and correspondingly promotes the ongrowth