These guidelines will [help] reduce children's feet and ankle exposure to micro- and macrotrauma
We also deal with patients and personalities who seem to seek repeated suffering in the form of both micro-and macrotrauma
Small excessive forces work continuously on the Achilles causing lots of small 'micro' tears to the fibres, where as a macrotrauma
would be one large excessive force causing a lot of damage.
Other causes may include microtrauma and macrotrauma
, weight and activity level, and genetic quality of the cartilage.