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Practice Essentials

Achilles tendon pathologies include rupture and tendonitis. Many experts now believe, however, that
tendonitis is a misleading term that should no longer be used, because signs of true inflammation are
almost never present on histologic examination. Instead, the following histopathologically determined
nomenclature has evolved:

Paratenonitis: Characterized by paratenon inflammation and thickening, as well as fibrin adhesions [1]

Tendinosis: Characterized by intrasubstance disarray and degeneration of the tendon [2, 1, 3]

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