“…8,21 Magnetic resonance imaging has been described as the preferred method for assessing tendon morphology, but subtle pathologies may be missed or misinterpreted. 5,18 Miller et al 16 compared MRI and ultrasound findings in the diagnosis of TPT pathology and found that MRI missed 20% of tears >1 cm (2/10) that ultrasound was able to detect. In our study, tendoscopy revealed 1 partial-thickness tear of 2 cm in length that was initially considered tendinosis on MRI.…”
“…8,21 Magnetic resonance imaging has been described as the preferred method for assessing tendon morphology, but subtle pathologies may be missed or misinterpreted. 5,18 Miller et al 16 compared MRI and ultrasound findings in the diagnosis of TPT pathology and found that MRI missed 20% of tears >1 cm (2/10) that ultrasound was able to detect. In our study, tendoscopy revealed 1 partial-thickness tear of 2 cm in length that was initially considered tendinosis on MRI.…”
“…7
Tips and tricksThe neurovascular bundle is at risk creating the posteromedial portal. To prevent damage:…”
Section: Current State Of the Artmentioning
confidence: 99%
“…In 1997, van Dijk et al
6 published a report on tendon sheath endoscopy, actually naming the procedure ‘tendoscopy’ 7. In this report he described tendoscopy of the peroneal tendons, posterior tibial tendon (PTT), FHL and Achilles tendon.…”
“…In a recent systematic review of the literature, most studies are levels IV and V, with just one level II study. 24 There is still no sufficient evidence to make a recommendation (grade I) for or against tendoscopy of the foot and ankle. Although apparently a safe and effective procedure, tendoscopy still awaits papers of higher levels of evidence before a strong recommendation can be assigned.…”
Tendoscopy is an apparently safe and reliable procedure to manage some foot and ankle disorders.The most common foot and ankle tendoscopies are: Achilles; peroneal; and posterior tibial tendon.Tendoscopy may be used as an adjacent procedure to other techniques.Caution is recommended to avoid neurovascular injuries.Predominantly level IV and V studies are found in the literature, with no level I studies still available.There are many promising and evolving endoscopic techniques for tendinopathies around the foot and ankle, but studies of higher levels of evidence are needed to strongly recommend these procedures.
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