Correlation of clinical and ultrasonographic findings after Achilles tenotomy in idiopathic club foot

• Published in: Journal of bone and joint surgery. British volume Vol. 88; no. 3; pp. 377 - 379
• Main Authors: BARKER, S. L, LAVY, C. B. D
• Format: Journal Article
• Language: English
• Published: London British Editorial Society of Bone and Joint Surgery 01.03.2006; British Editorial Society of Bone & Joint Surgery
• Edition: British volume
• Subjects: Achilles Tendon - surgery; Biological and medical sciences; Clubfoot - diagnostic imaging; Clubfoot - surgery; Diseases of the osteoarticular system; Female; Humans; Infant; Male; Malformations and congenital and or hereditary diseases involving bones. Joint deformations; Medical sciences; Orthopedic Procedures - methods; Orthopedic surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Treatment Outcome; Ultrasonography; Wound Healing - physiology; Sonography; Symptomatology; Orthopedic surgery; Treatment; Malformation; Tendo calcaneus; Tenotomy; Diseases of the osteoarticular system; Echography; Idiopathic; Clubfoot
• ISSN: 0301-620X; 2049-4394; 2044-5377; 2049-4408
• DOI: 10.1302/0301-620X.88B3.17273

Achilles tenotomy is a recognised step in the Ponseti technique for the correction of idiopathic congenital talipes equinovarus in most percutaneous cases. Its use has been limited in part by concern that the subsequent natural history of the tendon is unknown. In a study of 11 tendons in eight infants, eight tendons were shown to be clinically intact and ten had ultrasonographic evidence of continuity three weeks after tenotomy. At six weeks after tenotomy all tendons had both clinical and ultrasonographic evidence of continuity.