Effect of Shockwave Treatment for Management of Upper and Lower Extremity Musculoskeletal Conditions: A Narrative Review.

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Abstract

[Indexed for MEDLINE] 10. Foot Ankle Clin. 2019 Sep;24(3):371-385. doi: 10.1016/j.fcl.2019.04.001. Anatomical and Functional Considerations in Achilles Tendon Lesions. Dederer KM(1), Tennant JN(2). Author information: (1)Department of Orthopaedic Surgery, University of North Carolina, 130 Mason Farm Rd, Chapel Hill, NC 27599, USA. (2)Department of Orthopaedic Surgery, University of North Carolina, 130 Mason Farm Rd, Chapel Hill, NC 27599, USA. Electronic address: Josh_tennant@med.unc.edu. The pathologic conditions of the Achilles tendon are best understood in the context of its unique anatomy and functional demands. Some of these unique considerations include its high physiologic load demands, microscopic tissue composition, muscular origin spanning the knee joint, intimate insertional relationship with the plantar fascia, sensory innervation, and vascular supply with watershed areas. Risks of both acute rupture and chronic tendinopathy are affected by the tendon's anatomy and its functional demands. The tendon's functional anatomy changes with advancing age, notably in its collagen composition and vascular supply. Copyright © 2019 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2019.04.001