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Insertional Achilles tendinitis involves the lower portion of the tendon, where it attaches (inserts) to the heel bone (also known as the calcaneus). In both noninsertional and insertional Achilles tendinitis, damaged tendon fibers may calcify (harden) over time.
If the Achilles tendon ruptured from the insertion (attachment site) on the heel, surgeons will tack the tendon back down to the heel using anchor devices, which are drilled into the heel bone. Tears of the middle part of the tendon are repaired using sutures to bring the torn edges together.
Gastrocnemius Recession or Achilles Tendon Lengthening. These operations aim to lengthen the calf muscle (gastrocnemius) or Achilles tendon and are therefore useful in patients who have tightness and limited ability to bend the ankle upward.
A rupture of the tendon is a tearing and separation of the tendon fibers so that the tendon can no longer perform its normal function. This video animation provides information about the Achilles tendon, how it can be injured, and how injuries are treated — both nonsurgically and surgically.
Insertional Achilles tendinosis. This condition results from the breakdown of collagen in the Achilles tendon at the place where the tendon attaches to the heel bone. Over time, the tendon becomes thickened, causing pain. Whatever the cause, continued impact on a sore heel will only worsen the pain and may lead to additional problems.
Nonsurgical Treatment. More than 90% of patients with plantar fasciitis will improve within 10 months of starting simple treatment methods. Rest. Decreasing or even stopping the activities that make the pain worse is the first step in reducing the pain.
The tendon at the elbow is called the distal biceps tendon. It attaches to a part of the radius bone called the radial tuberosity, a small bump on the bone near your elbow joint. The biceps muscle helps you bend and rotate your arm.
There are two main causes of biceps tendon tears: injury and overuse. Injury. If you fall hard on an outstretched arm or lift something too heavy, you can tear your biceps tendon. Overuse. Many tears are the result of wearing down and fraying of the tendon that occurs slowly over time.
The patellar tendon often tears at the place where it attaches to the kneecap, and a piece of bone can break off along with the tendon. When a tear is caused by a medical condition — like tendinitis — the tear usually occurs in the middle of the tendon.
The quadriceps tendon is the most important tendon involved in straightening the knee from a bent position. Small tears of this tendon cause pain or make it difficult to walk and participate in other daily activities.