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Rehab Grand Rounds Winter 2017 - Treating In-Season Athletes with Mid-Portion Achilles Tendinosis

In this issue of Rehab Grand rounds, Drs. Kentaro Onishi, Matthew T. Santa Barbara and Stephen Schaaf discuss treating in-season athletes with mid-portion achilles tendinosis. 

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Identify mid-portion Achilles tendinosis risk factors in athletes
  • Improve the diagnosis of mid-portion Achilles tendinosis in athletes
  • Review the conservative, interventional, and surgical treatment recommendations for athletes with mid-portion Achilles tendinosis

Reading Resources:

  1. Lopes AD, Hespanhol LC, Yeung SS, et al. What are the Main Running-Related Musculoskeletal Injuries? Sports Medicine. 2012; 42(10): 891-905.
  2. Kujala UM, Sarna S, Kaprio J. Cumulative Incidence of Achilles Tendon Rupture and Tendinopathy in Male Former Elite Athletes. Clin J Sports Med. 2005; 15(3): 133-135.
  3. Paavola M, Kannus P, Paakkala T, et al. Long-term Prognosis of Patients With Achilles Tendinopathy. An Observational 8-year Follow-up Study. Am J Sports Med.2000; 28: 634-642. 
  4. Kvist M. Achilles Tendon Injuries in Athletes. Ann Chir Gynaecol. 1991; 80: 188-201.
  5. Puddu G, Ippolito E, Postacchini F. A Classification of Achilles Tendon Disease. Am J Sports Med. 1976; 4(4): 145-150.
  6. Uquillas CA, Guss MS, Ryan DJ, et al. Everything Achilles: Knowledge Update and Current Concepts in Management: AAOS Exhibit Selection. J Bone Joint Surg Am. 2015; 97(14): 1187-1195.


All contributing authors report no relevant relationships with proprietary entities producing health care goods and services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 11/20/2016 | Last Modified On: 11/20/2016 | Expires: 11/20/2017

Additional Resources


Kentaro Onishi, DO

Kentaro Onishi, DO Assistant Professor
Assistant Director, Sports Medicine Fellowship
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Matthew Santa Barbara, MD

Matthew Santa Barbara, MD Resident, Department of Physical Medicine and Rehabilitation
University of Pittsburgh School of Medicine
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Stephen Schaaf, MD

Stephen Schaaf, MD Resident, Department of Physical Medicine and Rehabilitation
University of Pittsburgh School of Medicine
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