Non Insertional Achilles Tendinopathy


Definition
Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion


Inflammation and degeneration of the achilles tendon in the midsubstance 2 - 6 cm from insertion
Chronic lateral trochanteric pain
- abductor tendon tendonitis
- trochanteric bursitis
Women 40 - 60 years old
? repetitive friction of iliotibial tract over GT
Pain over upper lateral thigh with activity
- often related to hip flexion
CP is a permanent disorder of movement and posture
- non-progressive
- brain injury before the age of two years
Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries
2-3 per 1000 live births
Higher in
Full thickness tear (FTT)
- variable amount retraction from insertion


Partial thickness tear (PTT)
- incomplete
- bursal or articular sided
Twisted / Wry neck secondary to fibromatosis in sternocleidomastoid
Packaging defect
- commonest first born
- 75% on right
CDH 20%
Metatarsus adductus 15%
Breech presentation
Klippel - Feil Syndrome
Arthrogryposis
Fibrosis of SCM on one side