[Summary of the practice guideline for shoulder complaints from the Dutch College of General Practitioners]. / Samenvatting van de standaard 'Schouderklachten' van het Nederlands Huisartsen Genootschap.

The second revision of the practice guideline for shoulder complaints was presented in 2008 by the Dutch College of General Practitioners. This guideline provides a standard for the diagnosis and treatment of shoulder complaints by general practitioners. The most important items in this new guideline are reviewed.

[Guideline 'Chronic Achilles tendinopathy, in particular tendinosis, in sportsmen/sportswomen']. / Richtlijn 'Chronische achillestendinopathie, in het bijzonder de tendinosis, bij sporters'.

--Chronic Achilles tendinopathy in sports often leads to various therapeutic strategies, medical shopping and frequently to inability to perform at the desired level. --Although it is clear that this chronic tendinopathy is not an inflammatory disease of the tendon, the cause of the degeneration of the tendon fibres is not understood. --The main therapeutic measure--based on scientific evidence--is eccentric calf-muscle training for at least 3 months. --Recent therapies such as sclerotherapy ofneovascularizations in and around the Achilles tendon appear to be promising, but more studies are required. --About 20% of the patients tend to be refractive to conservative measures. --In selected cases surgery can be undertaken, with percutaneous longitudinal tenotomy proving effective in 75-80% of the cases.