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Foot Ankle Surg. 2012 Jun;18(2):119-23. doi: 10.1016/j.fas.2011.04.007. Epub 2011 Jun 8.

Epidemiologic investigation of 1394 feet: coincidence of hindfoot malalignment and Achilles tendon disorders.

Author information

1
Hufeland Klinik, Orthopaedic Department, Taunusallee 5, 56130 Bad Ems, Germany. utewaldecker@googlemail.com

Abstract

BACKGROUND:

The aim of this epidemiologic study was to evaluate the incidence of the Achilles tendinopathy in non athletes and the coincidence with varus alignment of the hindfoot.

METHODS:

Six hundred ninety-seven patients (1394 feet) have been analysed. The tibiocalcaneal axis was goniometrically measured. The presence of a non insertional and insertional Achilles tendinopathy was clinically determined.

RESULTS:

Achilles tendinopathy was found in 5.6% of the patients (4% insertional, 3.6% non insertional, 1.9% both forms). The average tibiocalcaneal angle was calculated with -0.76° for the tendinopathy group and -0.96° for the insertional tendinopathy whereas the control group showed an average angle of 1.77°. For the total group the average tibiocalcaneal axis was calculated with 1.62°. Out of 1394 feet 38.3% showed a varus axis of the hindfoot and 61.7% a valgus alignment.

CONCLUSIONS:

The coincidence of varus alignment and Achilles tendinopathy could be validated.

PMID:
22443999
DOI:
10.1016/j.fas.2011.04.007
[Indexed for MEDLINE]

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