Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S.

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Endoscopic Calcaneoplasty and Achilles Tendoscopy With the Patient in Supine Position Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. Arthroscopy Techniques Volume 5, Issue 6, Pages e1475-e1479 (December 2016) DOI: 10.1016/j.eats.2016.08.027 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Endoscopic calcaneoplasty and Achilles tendoscopy of the left leg. (A) The posterolateral portal (PLP) is located at the lateral side of the Achilles tendon. (B) The posteromedial portal (PMP) is located at the medial side of the Achilles tendon. The portals are at the level of the posterosuperior corner of the posterior calcaneal tubercle. Arthroscopy Techniques 2016 5, e1475-e1479DOI: (10.1016/j.eats.2016.08.027) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Achilles tendoscopy of the left leg. (A) Achilles tendoscopy is performed with the posteromedial portal (PMP) and posterolateral portal (PLP). (B) The posteromedial portal is the viewing portal. The ventral surface of the Achilles tendon (AT) is debrided by an arthroscopic shaver through the PLP. Arthroscopy Techniques 2016 5, e1475-e1479DOI: (10.1016/j.eats.2016.08.027) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Endoscopic calcaneoplasty of the left leg. The posterolateral portal is the viewing portal. The plantar-flexed position of the ankle will relax the Achilles tendon (AT) and open up the angle between the tendon and the posterior calcaneal tubercle (CT). This allows the calcaneal insertion of the Achilles tendon to be easily reached by the acromionizer. Arthroscopy Techniques 2016 5, e1475-e1479DOI: (10.1016/j.eats.2016.08.027) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Endoscopic calcaneoplasty of the left leg. The posteromedial portal is the viewing portal. Adequate decompression of the Achilles tendon (AT) down to its insertion is shown. (CT, posterior calcaneal tubercle.) Arthroscopy Techniques 2016 5, e1475-e1479DOI: (10.1016/j.eats.2016.08.027) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Achilles tendoscopy of the left leg. (A, B) Achilles tendoscopy with the hip flexed, knee extended, and leg elevated by the triangular frame allows a more ergonomic hand motion for the Achilles tendon debridement. Arthroscopy Techniques 2016 5, e1475-e1479DOI: (10.1016/j.eats.2016.08.027) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions