injections

Definition

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

Definition 

Idiopathic inflammatory condition

- characterised by progressive shoulder pain & stiffness

- due to contracture of capsuloligamentous structures

- spontaneously resolves 

Epidemiology

2% incidence

- 40 - 60 years

- Women 2:1

Sedentary workers

- Non-dominant limb

Bilateral in 10 - 40%

Aetiology

Issues

Rotator cuff

- often deficient

Bone stock

- often deficient

Glenoid

- often posterior version 

Management

Options

1.  TSR

Indications

- cuff intact