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Your customers will taste the difference and come back time and time again for products prepared by Deli Brands of America. Gastrocnemius tendon 10-25 cm long - soleus 3-10 cm - inserts superior calcaneal tuberosity - fibres spiral 90° - fibres that lie medially in proximal portion become posterior distally - allows elastic recoil & energy storage Plantaris present in 90% population - medial to T Achilles Poor blood supply midportion - mesotenal vessels - fewest at 2-6 cm - other blood supply from osseous insertion Usually age 40 years - M: F = 12:1 - occasional sportsman - 75% during sports Calf contraction with forced dorsiflexion in setting of tendon degeneration Combination of 1. Hypovascularity - occurs at watershed of vascular supply - an area of hypovascularity 5 cm proximal to tendon insertion Factors - corticosteroids - oral or injected - anabolic steroids - flouroquinolone / ciprofloxacin (especially elderly) - gout - hyperthyroidism - tendinitis (10% ruptures have preexisting achilles tendon disorder) - cavovarus OR planovalgus foot Mechanical Overload - footwear (low heel, inadequate shock absorption) - sudden training increase - cross training 1.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the orinal work is properly cited This case hhts the fact that bone involvement is the commonest clinical manifestation of Sickle Cell Disease (SCD) both in the acute settings such as painful vaso-occlusive crisis (VOC) and as a source of chronic, progressive debility such as avascular necrosis (AVN), chronic osteomyelitis and fixed flexion deformity of joints. bilateral femoral and left humeral chronic osteomyelitis, Left elbow, Left knee and rht humeral septic arthritis together with avascular necrosis of both femoral and rht humeral heads, coupled with urinary tract infection (UTI) and decubitus ulcer in a young adult SCD patient is an unusual occurrence. Established in 1932, Deli Brands of America has a tradition of quality and value that is unsurpassed.
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