title: Flexor Hallucis Longus Tendon Transfer for Calcific Insertional Achilles Tendinopathy.
abstract: Calcific insertional Achilles tendinopathy can result in significant pain and disability. Although some patients respond to nonoperative therapy, many patients are at risk for long-term morbidity and unpredictable clinical outcomes. There is no evidence-based data to support the timing of operative invention, choice of procedures, or whether equinus requires treatment. This article suggests the need for a classification system based on physical examination and imaging to help guide treatment. There is an obvious need for evidence-based studies evaluating outcomes and for properly conducted scientific research to establish appropriate treatment protocols.
authors.affiliation: Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Howell
authors.affiliation: Division of Foot and Ankle Surgery, West Penn Hospital, Allegheny Health Network, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address: acatanzariti@faiwp.com.
authors.forename: Alan R
authors.initials: AR
authors.lastname: Catanzariti
mesh_terms: D000125:Achilles Tendon / Q000293:injuries*; D006801:Humans; D052256:Tendinopathy / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods*
keywords: Achilles tendonitis; Flexor hallucis longus tendon transfer; Insertional calcification; Insertional tendinosis; Retrocalcaneal bursitis