The Achilles Tendon

Disorders of the Achilles tendon are universal, affecting people in a wide range of age groups. Because the Achilles tendon is one of the most pow- ful musculotendinous structures in the body, the impact of an injury to the Achilles tendon becomes magnified. There is a wide range of disorders or problems that can involve the insertional region, where pathology may rest with bone, tendon, or bursae. A completely different set of pathologic entities resides in the noninsertional region, one of which may include the frustrating degenerative tendinopathy. As our growing population ages but remains phy- cally active longer into life, the incidence of these disorders will continue to increase. I am proud to be given the opportunity to write the foreword to this text, which is intended for foot and ankle surgeons worldwide. Seldom does a book on a single entity become a current concepts review, as this work has. Too often, textbooks are not published for several years after the chapters have been written, making them obsolete upon publication. Not so with this book, which deals with timely topics on the Achilles tendon. Dr. James Nunley has compiled this work in slightly over a year, thus providing the reader with sta- of-the-art material. Dr. Nunley had the foresight to create a much needed techniques-oriented book dealing with the complexities of the Achilles tendon. His approach was to develop a comprehensive guide to managing Achilles tendon problems.

Anatomy of the Achilles Tendon. - Ultrasound Examination of the Achilles Tendon. - Magnetic Resonance Imaging of the Achilles Tendon. - Ruptures of the Medial Gastrocnemius Muscle ( Tennis Leg ). - Nonoperative Management of Acute Ruptures. - Acute Repairs of the Achilles Tendon by the Percutaneous Technique. - Mini-Open Repair of Acute Ruptures. - Formal Open Repair of the Achilles Tendon. - Rehabilitation After Acute Ruptures of the Achilles Tendon. - Treatment of the Chronic Elongated Achilles Tendon with Anatomic Reconstruction. - Treatment of Chronic Achilles Tendon Ruptures with Tendon Transfers. - Free Tissue Reconstruction. - Noninsertional Achilles Tendinopathy: An Overview. - Nonoperative Management of Achilles Tendinopathy. - Surgical Management of Achilles Tendinopathy by Percutaneous Longitudinal Tenotomies. - Open Debridement of Noninsertional Achilles Tendinopathy. - Overview of Insertional Achilles Tendinopathy. - Medial and Lateral Approaches to Insertional Achilles Disease. - Insertional Achilles Tendinopathy: The Central Approach. - Treatment of Chronic Achilles Tendon Ruptures with an Acellular Dermal Matrix Augmentation.