ArticleBMC musculoskeletal disorders2016
How to diagnose plantaris tendon involvement in midportion Achilles tendinopathy - clinical and imaging findings.
Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 50 citations in OpenAlex.
- Plantaris tendon morphology in Papio anubis: a comparative anatomical study.Scientific reports · 2026Article
- Vascular and Neural Compression Syndromes Associated with Plantaris Muscle Variants: A Classification-Based Review.Journal of clinical medicine · 2026Review
- Does the Anatomical Type of the Plantaris Tendon Influence the Management of Midportion Achilles Tendinopathy?Journal of clinical medicine · 2025Review
- The Plantaris Muscle Is Not Vestigial: Developmental, Comparative, and Functional Evidence for Its Sensorimotor Role.Biology · 2025Review
- Autologous bone marrow derived mesenchymal stem cells are safe for the treatment of Achilles tendinopathy.Scientific reports · 2024Article
- Tendinopathic Plantaris but Normal Achilles Tendon Found in About One-Fifth of Patients Not Responding to Conservative Achilles Tendon Management - Results from a Prospective WALANT Surgical Case Series on 105 Tendons.Open access journal of sports medicine · 2024Article
- Combined Midportion Achilles and Plantaris Tendinopathy: A 1-Year Follow-Up Study after Ultrasound and Color-Doppler-Guided WALANT Surgery in a Private Setting in Southern Sweden.Medicina (Kaunas, Lithuania) · 2023Article
- An atypical case of calf pain: Plantaris tendon axial instability.Journal of clinical orthopaedics and trauma · 2022Article
- Sharp pain in a normal Achilles tendon of a professional female football player was related to a plantaris tendon in a rare position: a case report.Journal of medical case reports · 2021Article
- Achilles Scraping and Plantaris Tendon Removal Improves Pain and Tendon Structure in Patients with Mid-Portion Achilles Tendinopathy-A 24 Month Follow-Up Case Series.Journal of clinical medicine · 2021Article
- To What Extent Do Musculoskeletal Ultrasound Biomarkers Relate to Pain, Flexibility, Strength, and Function in Individuals With Chronic Symptomatic Achilles Tendinopathy?Frontiers in rehabilitation sciences · 2021Article
- Ultrasound and surgical inspection of plantaris tendon involvement in chronic painful insertional Achilles tendinopathy: a case series.BMJ open sport & exercise medicine · 2021Article
- Partial Achilles Tendon Rupture-A Neglected Entity: A Narrative Literature Review on Diagnostics and Treatment Options.Journal of clinical medicine · 2020Review
- It is possible to release the plantaris tendon under ultrasound guidance: a technical description of ultrasound guided plantaris tendon release (UPTR) in the treatment of non-insertional Achilles tendinopathy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Acute sensory and motor response to 45-s heavy isometric holds for the plantar flexors in patients with Achilles tendinopathy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Eccentric Exercise for Achilles Tendinopathy: A Narrative Review and Clinical Decision-Making Considerations.Journal of functional morphology and kinesiology · 2019Review
- Prevalence of Coexistent Plantaris Tendon Pathology in Patients with Mid-Portion Achilles Pathology: A Retrospective MRI Study.Sports (Basel, Switzerland) · 2019Article
- Results of minimally invasive Achilles tendon scraping and plantaris tendon removal in patients with chronic midportion Achilles tendinopathy: A longer-term follow-up study.SAGE open medicine · 2019Article
- Surgical plantaris tendon removal for patients with plantaris tendon-related pain only and a normal Achilles tendon: a case series.BMJ open sport & exercise medicine · 2018Article
- The Plantaris Muscle Tendon and Its Relationship with the Achilles Tendinopathy.BioMed research international · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this investigation was to evaluate if clinical assessment, Ultrasound + Colour Doppler (US + CD) and Ultrasound Tissue Characterisation (UTC) can be useful in detecting plantaris tendon involvement in patients with midportion Achilles tendinopathy.
methodsTwenty-three tendons in 18 patients (14 men, mean age: 37 years and 4 women: 44 years) (5 patients with bilateral tendons) with midportion Achilles tendinopathy were surgically treated with a scraping procedure and plantaris tendon removal. For all tendons, clinical assessment, Ultrasound + Colour Doppler (US + CD) examination and Ultrasound Tissue Characterisation (UTC) were performed.
resultsAt surgery, all 23 cases had a plantaris tendon located close to the medial side of the Achilles tendon. There was vascularised fat tissue in the interface between the Achilles and plantaris tendons. Clinical assessment revealed localised medial activity-related pain in 20/23 tendons and focal medial tendon tenderness in 20/23 tendons. For US + CD, 20/23 tendons had a tendon-like structure interpreted to be the plantaris tendon and localised high blood flow in close relation to the medial side of the Achilles. For UTC, 19/23 tendons had disorganised (type 3 and 4) echopixels located only in the medial part of the Achilles tendon indicating possible plantaris tendon involvement.
conclusionsUS + CD directly, and clinical assessment indirectly, can detect a close by located plantaris tendon in a high proportion of patients with midportion Achilles tendinopathy. UTC could complement US + CD and clinical assessment by demonstrating disorganised focal medial Achilles tendon structure indicative of possible plantaris involvement.
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