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Case Reports in Orthopedics
Volume 2016, Article ID 1560161, 4 pages
http://dx.doi.org/10.1155/2016/1560161
Case Report

Technical Innovation Case Report: Ultrasound-Guided Prolotherapy Injection for Insertional Achilles Calcific Tendinosis

Primary Care Sports Medicine Department, Fort Belvoir Community Hospital, Fort Belvoir, VA, USA

Received 12 June 2016; Accepted 26 October 2016

Academic Editor: Johannes Mayr

Copyright © 2016 Benjamin K. Buchanan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We describe the use of ultrasound guidance for hyperosmolar dextrose (prolotherapy) injection of the distal calcaneal tendon specifically just anterior to identified enthesophytes in patients with insertional Achilles calcific tendinosis refractory to conservative treatment. This specific technique has not to our knowledge been described or used in literature previously.