Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study

Achilles tendon tendinopathy (AT) is a musculoskeletal condition characterized by pain in the Achilles tendon and impaired physical performance or sport activities. AT is difficult to treat, and the results are variable. Preliminary evidence suggests a positive effect for pain of percutaneous electr...

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Autores: Calderón Díez, Laura, Sánchez Sánchez, José Luis, Robles García, Miguel, Belón-Pérez, Pedro, Fernández de las Peñas, César
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/169267
Acesso em linha:http://hdl.handle.net/10366/169267
Access Level:acceso abierto
Palavra-chave:Achilles tendon
cadaver
percutaneous electrolysis
sural nerve
tendinopathy
Achilles Tendon
Tendinopathy
Cadaver
Electrolysis
Sural Nerve
tendón calcáneo
cadáver
tendinopatía
electrolisis
nervio sural
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spelling Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot studyCalderón Díez, LauraSánchez Sánchez, José LuisRobles García, MiguelBelón-Pérez, PedroFernández de las Peñas, CésarAchilles tendoncadaverpercutaneous electrolysissural nervetendinopathyAchilles TendonTendinopathyCadaverElectrolysisSural Nervetendón calcáneocadávertendinopatíaelectrolisisnervio suralAchilles tendon tendinopathy (AT) is a musculoskeletal condition characterized by pain in the Achilles tendon and impaired physical performance or sport activities. AT is difficult to treat, and the results are variable. Preliminary evidence suggests a positive effect for pain of percutaneous electrolysis in patients with tendinopathy. Our aim was to determine the validity and safety of a percutaneous electrolysis approach targeting the interphase between the Achilles tendon and the Kager's fat with ultrasound imaging in both healthy individuals and on a fresh cadaver model (not ultrasound guiding). A needle was inserted from the medial to the lateral side under the body of the Achilles tendon, just between the tendon and the Kager's triangle, about 5 cm from the insertion of tendon in the calcaneus in 10 healthy volunteers (ultrasound study) and 10 fresh cadaver legs. An accurate needle penetration of the interphase was observed in 100% of the approaches, in both human and cadaveric models. No neurovascular bundle of the sural nerve was pierced in any insertion. The distance from the tip of the needle to the sural nerve was 5.28 ± 0.7 mms in the cadavers and 4.95 ± 0.68 mms in the volunteer subjects, measured in both cases at a distance of 5 cm from the insertion of the Achilles tendon. The results of the current study support that percutaneous electrolysis can be safely performed at the Kager's fat-Achilles tendon interphase if it is US guided. In fact, penetration of the sural nerve was not observed in any needle approach when percutaneous needling electrolysis was performed by an experienced clinician. Future studies investigating the clinical effectiveness of the proposed intervention are needed.https://www.mdpi.com/1660-4601/19/19/11906202620262022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10366/169267reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)InglésAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:gredos.usal.es:10366/1692672026-06-07T06:28:51Z
dc.title.none.fl_str_mv Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
title Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
spellingShingle Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
Calderón Díez, Laura
Achilles tendon
cadaver
percutaneous electrolysis
sural nerve
tendinopathy
Achilles Tendon
Tendinopathy
Cadaver
Electrolysis
Sural Nerve
tendón calcáneo
cadáver
tendinopatía
electrolisis
nervio sural
title_short Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
title_full Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
title_fullStr Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
title_full_unstemmed Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
title_sort Cadaveric and ultrasound validation of percutaneous electrolysis approach at the Achilles Tendon as a potential treatment for Achilles Tendinopathy: a pilot study
dc.creator.none.fl_str_mv Calderón Díez, Laura
Sánchez Sánchez, José Luis
Robles García, Miguel
Belón-Pérez, Pedro
Fernández de las Peñas, César
author Calderón Díez, Laura
author_facet Calderón Díez, Laura
Sánchez Sánchez, José Luis
Robles García, Miguel
Belón-Pérez, Pedro
Fernández de las Peñas, César
author_role author
author2 Sánchez Sánchez, José Luis
Robles García, Miguel
Belón-Pérez, Pedro
Fernández de las Peñas, César
author2_role author
author
author
author
dc.subject.none.fl_str_mv Achilles tendon
cadaver
percutaneous electrolysis
sural nerve
tendinopathy
Achilles Tendon
Tendinopathy
Cadaver
Electrolysis
Sural Nerve
tendón calcáneo
cadáver
tendinopatía
electrolisis
nervio sural
topic Achilles tendon
cadaver
percutaneous electrolysis
sural nerve
tendinopathy
Achilles Tendon
Tendinopathy
Cadaver
Electrolysis
Sural Nerve
tendón calcáneo
cadáver
tendinopatía
electrolisis
nervio sural
description Achilles tendon tendinopathy (AT) is a musculoskeletal condition characterized by pain in the Achilles tendon and impaired physical performance or sport activities. AT is difficult to treat, and the results are variable. Preliminary evidence suggests a positive effect for pain of percutaneous electrolysis in patients with tendinopathy. Our aim was to determine the validity and safety of a percutaneous electrolysis approach targeting the interphase between the Achilles tendon and the Kager's fat with ultrasound imaging in both healthy individuals and on a fresh cadaver model (not ultrasound guiding). A needle was inserted from the medial to the lateral side under the body of the Achilles tendon, just between the tendon and the Kager's triangle, about 5 cm from the insertion of tendon in the calcaneus in 10 healthy volunteers (ultrasound study) and 10 fresh cadaver legs. An accurate needle penetration of the interphase was observed in 100% of the approaches, in both human and cadaveric models. No neurovascular bundle of the sural nerve was pierced in any insertion. The distance from the tip of the needle to the sural nerve was 5.28 ± 0.7 mms in the cadavers and 4.95 ± 0.68 mms in the volunteer subjects, measured in both cases at a distance of 5 cm from the insertion of the Achilles tendon. The results of the current study support that percutaneous electrolysis can be safely performed at the Kager's fat-Achilles tendon interphase if it is US guided. In fact, penetration of the sural nerve was not observed in any needle approach when percutaneous needling electrolysis was performed by an experienced clinician. Future studies investigating the clinical effectiveness of the proposed intervention are needed.
publishDate 2022
dc.date.none.fl_str_mv 2022
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/169267
url http://hdl.handle.net/10366/169267
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv https://www.mdpi.com/1660-4601/19/19/11906
publisher.none.fl_str_mv https://www.mdpi.com/1660-4601/19/19/11906
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,223283

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