Evidence map›Paper›PMID 33785026›Full record

SynthesisJournal of orthopaedic surgery and research2021

Nonoperative treatment of insertional Achilles tendinopathy: a systematic review.

Xiaosong Zhi, Xinyuan Liu, Jing Han, Yang Xiang, Helin Wu, Shijun Wei, Feng Xu

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06986759 (Comparative Effects of Laser and Extracorpeal Shock Wave Therapy on Pain, Range of Motion and Function in Patients With Achilles Tendinopathy.), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT06986759 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparative Effects of Laser and Extracorpeal Shock Wave Therapy on Pain, Range of Motion and Function in Patients With Achilles Tendinopathy.

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled44ConditionsAchilles TendinopathyArmsLaser, Extracorporeal shock wave therapy protocol
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. [Effectiveness analysis of channel-assisted minimally invasive repair technique combined with flexor hallucis longus tendon transfer for Achilles tendon sleeve avulsion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Recurrence rates for surgically treated insertional Achilles tendinopathy.Archives of orthopaedic and trauma surgery · 2024
    Article
  15. Article
  16. [Achilles tendon pathologies].Orthopadie (Heidelberg, Germany) · 2023
    Review
  17. 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
  18. 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

7 authors at 5 institutions in 1 country.

Xiaosong Zhi *Department of Orthopaedics, General Hospital of Central Theater Command (Wuhan General Hospital of Guangzhou Command, previously), NO. 627, Wuluo Road, Wuhan, 430030, Hubei Province, P. R. China.
Xinyuan Liu *Department of Emergency, Taikang Tongji (Wuhan) Hospital, Wuhan, Hubei Province, P. R. China.
Jing HanDepartment of Orthopaedics, General Hospital of Central Theater Command (Wuhan General Hospital of Guangzhou Command, previously), NO. 627, Wuluo Road, Wuhan, 430030, Hubei Province, P. R. China.
Yang XiangGraduate School of Wuhan University of Science and Technology, Wuhan, Hubei Province, P. R. China.
Helin WuThe First Clinical Medical School Of Southern Medical University, Guangzhou, Guangdong Province, P. R. China.
Shijun WeiDepartment of Orthopaedics, General Hospital of Central Theater Command (Wuhan General Hospital of Guangzhou Command, previously), NO. 627, Wuluo Road, Wuhan, 430030, Hubei Province, P. R. China. wsj1974@yeah.net.
Feng XuDepartment of Orthopaedics, General Hospital of Central Theater Command (Wuhan General Hospital of Guangzhou Command, previously), NO. 627, Wuluo Road, Wuhan, 430030, Hubei Province, P. R. China. gkxf79390@sohu.com.
Southern Medical University · CNGeneral Hospital of Central Theater CommandTongji Hospital · CNWuhan General Hospital of Guangzhou · CNWuhan University of Science and Technology · CN

Funding

Natural Science Foundation of Hubei Province 2017CFB568
6 · The paper itself

Abstract

backgroundInsertional Achilles tendinopathy is difficult to manage, and there is no definite consensus on which nonoperative treatment is superior over the others. We aim to provide a clear summary of the best available evidence for nonoperative treatment specific to insertional Achilles tendinopathy.

methodsLiteratures were searched in PubMed, Embase, and Web of Science databases from inception to October 2020. The results were evaluated independently by two reviewers and assessed against the inclusion/exclusion criteria. All included articles were assessed for methodological quality, and study characteristics were extracted.

resultsTwenty-three studies (containing 35 groups) were eligible for the final review. The treatments included eccentric training, extracorporeal shockwave therapy (ESWT), injections, and combined treatment. Visual analog scale (VAS), Victorian Institute of Sport Assessment-Achilles questionnaire, AOFAS, satisfaction rate, and other scales were used to assess the clinical outcome.

conclusionCurrent evidence for nonoperative treatment specific for insertional Achilles tendinopathy favors ESWT or the combined treatment of ESWT plus eccentric exercises.

Indexed as

Achilles TendonCombined Modality TherapyConservative TreatmentExercise TherapyExtracorporeal Shockwave TherapyFemaleHumansMaleOutcome Assessment, Health CareTendinopathyTreatment OutcomeInsertional Achilles tendinopathyNonoperative treatmentSystematic review

Identifiers

PMID33785026
PMCPMC8008511
OpenAlexW3147537475

What OpenQuestion holds

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LicenceCC BY
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.