Return to the original sport at only 3 months after an Achilles tendon rupture by a combination of intra-tissue injection of freeze-dried platelet-derived factor concentrate and excessively early rehabilitation after operative treatment in a male basketball player: A case report

Since the introduction of Fluoroquinolones (FQ) in 1960s, these antibiotics have been used in airway and urinary tract infections, due to absorption, biodisponibility, posology and long half-life time properties. However, several reports state that FQ can cause tendinopathy and rupture. These adverse effects can occur within hours after initial treatment to up to 6 months after withdrawal. FQ-induced tendinopathy was first reported in 1983; since then more than 100 cases have been published. FQ usage can lead to complete tendon rupture and no more than 8 to 15 cases are reported worldwide. Most of rupture cases have been associated to corticoid use and rheumatic, vascular or renal disease. The purpose of this case report is to present the challenging diagnosis of a bilateral rupture of Achilles tendon in an old patient, because of the uncommon of the presentation and to review the current literature on such a debilitating condition.

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Tibialis Posterior Tendon Dislocation in Combination with Achilles Tendon Rupture: A Case Report

Foot & Ankle International ◽

10.3113/fai.2008.0633 ◽

2008 ◽

Vol 29 (6) ◽

pp. 633-636 ◽

Cited By ~ 5

Author(s):

Andreas P. Boss ◽

Beat Hintermann

Keyword(s):

Case Report ◽

Achilles Tendon ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

Tibialis Posterior ◽

Tibialis Posterior Tendon

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Operative Treatment of Acute Achilles Tendon Rupture: Open End-to-End-Reconstruction Versus Reconstruction with Mitek-Anchors

Acta Chirurgica Belgica ◽

10.1080/00015458.2008.11680210 ◽

2008 ◽

Vol 108 (2) ◽

pp. 236-239 ◽

Cited By ~ 1

Author(s):

T.J.A. Schönberger ◽

H.M.J. Janzing ◽

J.W. Morrenhof ◽

A.C. de Visser ◽

P. Muitjens

Keyword(s):

Achilles Tendon ◽

Operative Treatment ◽

Tendon Rupture ◽

Achilles Tendon Rupture ◽

End To End

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Bilateral Achilles tendon rupture: A case report

Accident and Emergency Nursing ◽

10.1016/j.aaen.2005.08.005 ◽

2005 ◽

Vol 13 (4) ◽

pp. 220-223 ◽

Cited By ~ 4

Author(s):

N. Garneti ◽

C. Holton ◽

A. Shenolikar

Keyword(s):

Case Report ◽

Achilles Tendon ◽

Tendon Rupture ◽

Achilles Tendon Rupture

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Outcome after operative treatment for chronic versus acute Achilles tendon rupture — A comparative analysis

Foot and Ankle Surgery ◽

10.1016/j.fas.2016.12.003 ◽

2018 ◽

Vol 24 (2) ◽

pp. 110-114 ◽

Cited By ~ 7

Author(s):

C. Becher ◽

S. Donner ◽

J. Brucker ◽

K. Daniilidis ◽

H. Thermann

Keyword(s):

Comparative Analysis ◽

Achilles Tendon ◽

Operative Treatment ◽

Tendon Rupture ◽

Achilles Tendon Rupture

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Operative versus Nonoperative Management of Acute Achilles Tendon Rupture

The American Journal of Sports Medicine ◽

10.1177/03635465020300060501 ◽

2002 ◽

Vol 30 (6) ◽

pp. 783-790 ◽

Cited By ~ 83

Author(s):

Mininder S. Kocher ◽

Julius Bishop ◽

Ryan Marshall ◽

Karen K. Briggs ◽

Richard J. Hawkins

Keyword(s):

Decision Making ◽

Achilles Tendon ◽

Operative Treatment ◽

Management Strategy ◽

Tendon Rupture ◽

Nonoperative Management ◽

Achilles Tendon Rupture ◽

Back Analysis ◽

Major Complication ◽

Optimal Management

Background The optimal management strategy for acute Achilles tendon rupture is controversial. Purpose To determine the optimal management by using expected-value decision analysis. Study Design Cross-sectional study. Methods Outcome probabilities were determined from a systematic literature review, and patient-derived utility values were obtained from a visual analog scale questionnaire. A decision tree was constructed, and fold-back analysis was used to determine optimal treatment. Sensitivity analyses were used to determine the effect of varying outcome probabilities and utilities on decision-making. Results Outcome probabilities (expressed as operative; nonoperative) were as follows: well (0.762; 0.846), rerupture (0.022; 0.121), major complication (0.030; 0.025), moderate complication (0.075; 0.003), and mild complication (0.111; 0.005). Outcome utility values were well operative (7.9), well nonoperative (7.0), rerupture (2.6), major complication (1.0), moderate complication (3.5), and mild complication (4.7). Fold-back analysis revealed operative treatment as the optimal management strategy (6.89 versus 6.30). Threshold values were determined for the probability of a moderate complication from operative treatment (0.21) and the utility of rerupture (6.8). Conclusions Operative management was the optimal strategy, given the outcome probabilities and patient utilities we studied. Nonoperative management was favored by increasing rates of operative complications; operative, by decreasing utility of rerupture. We advocate a model of doctor-patient shared decision-making in which both outcome probabilities and patient preferences are considered.

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Results of tenorrhaphy with early rehabilitation for acute tear of Achilles tendon

Journal of Orthopaedic Surgery ◽

10.1177/2309499018802483 ◽

2018 ◽

Vol 26 (3) ◽

pp. 230949901880248 ◽

Cited By ~ 2

Author(s):

Chang Hyun Ryu ◽

Ho Seong Lee ◽

Sang Gyo Seo ◽

Ho Yeon Kim

Keyword(s):

Achilles Tendon ◽

Tendon Rupture ◽

Surgical Repair ◽

Plantar Flexion ◽

Achilles Tendon Rupture ◽

Early Rehabilitation ◽

Calf Circumference ◽

Major Complications ◽

The Mean

Background: For the treatment of acute Achilles tendon rupture, early rehabilitation after surgical repair is believed to be a useful method. The purpose of this study was to evaluate the outcome of open tenorrhaphy followed by early rehabilitation. Methods: A total of 112 patients who underwent open repair and early rehabilitation for acute Achilles tendon rupture from January 2003 to March 2015 were retrospectively reviewed. These 112 patients (80 men, 32 women) had an average age of 43.1 years (22–62 years), and the mean follow-up period was 91.8 months (12–171 months). A short leg cast was applied postoperatively for an average of 16.5 days (12–20 days). The mean duration of bracing was 6.9 weeks (6–8 weeks). Each patient was assessed based on range of motion, single heel raising test, calf circumference compared to the contralateral limb, ability to return to previous activity, the Arner–Lindholm scale, and the American orthopaedic foot and ankle society (AOFAS) hind foot scale. Isokinetic plantar flexion power was also checked. Results: All patients were fully satisfied (AOFAS ≥ 90) with the treatment results, and 96 patients were able to return to their previous athletic activities. As assessed by the Arner–Lindholm scale, 103 cases were rated as excellent and the other 9 cases were rated as good. At the 1-year follow-up period, single heel raise and hopping was possible in every patient. Compared to the contralateral side, 10 subjects (8.9%) had minor limitation of dorsiflexion motion, and an average of 1.6 cm calf circumference difference without functional disabilities. There were no major complications such as re-rupture, nerve injury, or infection. Conclusion: For acute Achilles tendon ruptures, open surgical repair with optimal length restoration, followed by earlier rehabilitation results in good functional outcomes and a successful return to pre-injury levels of physical activity without major complications. Level of evidence: Level IV.

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