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Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_11 | Pages 33 - 33
1 Oct 2015
Morton S Chan O Pritchard M Parkes T Malliaras P Maffulli N Crisp T Padhiar N King J Morrissey D
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Introduction

An additional pathology should be considered for Achillodynia differentials – the intratendinous tear (ITT) – for which we describe symptoms, ultrasound findings and co-presenting pathology.

Materials and Methods

Examinations of 740 Achillodynic patients in one specialist centre were reviewed. ITTs were defined as a clearly visualised echopoor area situated centrally and extending to, but not through the tendon periphery, with pain on palpation and no clinical findings consistent with Achilles rupture. Descriptive statistics were used to analyse differences between pathological sub-groups, and images described qualitatively.


Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_11 | Pages 4 - 4
1 Oct 2015
Morton S Williams S Valle X Cueli D Malliaras P Morrissey D
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Introduction

Numerous risk factors have been identified for patellar tendinopathy (PT), often in small population studies. The aim was to use an online questionnaire internationally to generate a large database and identify significant risk factors.

Materials and Methods

Subjects were recruited from England, Spain and Italy with the questionnaire available in all three languages, with the questionnaire previously having been validated by Morton et al. (2014) as to be suitable for self-administration. The questionnaire can be viewed at: http://patellartendinopathyquestionnaire.blogspot.co.uk/ (English), http://tendinopatiarotuliana.blogspot.co.uk/ (Spanish) and http://tendinopatiarotulea.blogspot.co.uk/ (Italian). All data was anonymised and password protected. 825 data sets were collected with 23.4% having clinically diagnosed PT.


Orthopaedic Proceedings
Vol. 97-B, Issue SUPP_11 | Pages 34 - 34
1 Oct 2015
Morton S Chandra S Chan O Morrissey D
Full Access

Introduction

High-volume image guided injections (HVIGI) followed by structured rehabilitation have been shown to be effective in various musculoskeletal conditions including Achilles tendinopathy and shoulder impingement syndrome. The aim was to explore the effect of a HVIGI in Hoffa's fat pad impingement, a common cause of anterior knee pain.

Materials and Methods

100 consecutive subjects who received a HVIGI followed by a standardised physiotherapy rehabilitation regime for Hoffa's fat pad impingement (diagnosed using clinical history, examination and magnetic resonance imaging) at one specialist MSK centre were sent a follow-up questionnaire. The questionnaire collected demographics, symptom length and the percentage improvement in symptoms following the HVIGI. All had received HVIGI consisting of 10ml of 0.5% Marcaine and 50mg of hydrocortisone followed by a structured rehabilitation programme with a focus on lower limb alignment control, flexibility, hip and knee strengthening in line with best practice. Data was analysed using SPSS version 20 at this interim stage; data collection is continuing.