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Case report demonstrates successful treatment of achilles tendinosis in an adolescent athlete, suggesting effective intervention options.
Achilles tendinosis is rare in adolescents and often associated with iatrogenic factors from improper initial management.A 15-year-old male athlete presented with chronic Achilles pain that worsened following repeated peritendinous injections.Magnetic resonance imaging revealed significant fusiform thickening and T2 hyperintensity.Treatment involved minimal debridement followed by augmentation with a bioinductive collagen implant (REGENETEN; Smith & Nephew).Postoperative care utilized a 2-week short leg cast followed by an accelerated rehabilitation protocol with a VACOped brace.At the 3-month follow-up, the patient was pain-free (visual analog scale, 0/10) and successfully returned to sports.Bioinductive scaffolds may provide a favorable biological environment for restoring tendon volume in young patients without the need for autologous grafting and its associated donor-site morbidity.
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Baek et al. (2026) studied this question.
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