Evidence map›Paper›PMID 30847522›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

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.

Ben Hickey, Justin Lee, Jo Stephen, Jarrod Antflick, James Calder

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06302530 ("Effectiveness of the Ultrasound - Guided Lengthening of the Gastrocsoleus Complex"), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06302530 nacompletednot on this mapstarted 2024, after this paper: background citation

"Effectiveness of the Ultrasound - Guided Lengthening of the Gastrocsoleus Complex"

TypeinterventionalSponsorFundación Universidad Católica de Valencia San Vicente MártirRan2024 to 2025Enrolled118ConditionsGastrocnemius EquinusArmsStayer, Plantar transection, Baumann, Gastro-Soleus
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Therapeutic effects following extracorporeal shock wave therapy for insertional and non-insertional Achilles tendinopathy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2023
    Article
  3. An atypical case of calf pain: Plantaris tendon axial instability.Journal of clinical orthopaedics and trauma · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ben HickeyFortius Clinic, London, England, UK.
Justin LeeFortius Clinic, London, England, UK.
Jo StephenFortius Clinic, London, England, UK.
Jarrod AntflickFortius Clinic, London, England, UK.
James CalderFortius Clinic, London, England, UK.
Fortius Clinic · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOpen plantaris tendon excision and ventral paratendinous stripping is a recognised treatment option in selected patients with non-insertional Achilles tendinopathy. The aim of this study was to develop a minimally invasive outpatient technique of ultrasound guided plantaris tendon release (UPTR).

methodsA 19 gauge needle, 15 gauge scalpel blade, hook knife (Smith and Nephew, Boston, MA, USA) and a beaver blade (Arthrex, Naples, FL, USA), were used under ultrasound guidance to identify and divide the plantaris tendon in 12 cadaveric legs. Specimens were dissected to identify whether division of the plantaris tendon had been successful. UPTR was subsequently performed on patients.

resultsThe 15 gauge scalpel blade, hook knife (Smith and Nephew, Boston, MA, USA) and beaver blade (Arthrex, Naples, FL, USA) were all able to cut the plantaris tendon. However, on dissection the hook knife (Smith and Nephew, Boston MA) caused less damage to surrounding structures. Subsequently, the plantaris tendon was successfully divided in three patients using UPTR technique without complication.

conclusionUPTR is a viable technique for treating plantaris related non-insertional Achilles tendinopathy.

Indexed as

Achilles TendonCadaverDissectionFootHumansMuscle, SkeletalMusculoskeletal DiseasesOutpatientsSurgical InstrumentsTendinopathyTenotomyUltrasonographyAchillesMinimally invasivePlantarisTendinopathyUltrasound

Identifiers

PMID30847522
OpenAlexW2921383076

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.