scholarly journals Achilles Tendon Rupture: Advances in Functional Rehabilitation and the Role of Non-operative Management

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Forlizzi Julianne M
Author(s):  
A Biggs ◽  
G Scott ◽  
MC Solan ◽  
M Williamson

Heel pain and a history of a ‘pop’ or feeling ‘something go’ are the buzz phrases classically associated with Achilles tendon rupture. However, the diagnosis is often missed in clinical practice because of the assumption that this is a sporting injury suffered only by the young or middle-aged. In a sedentary older patient, the injury may be dismissed as an ankle sprain. If swelling is present but no injury is recalled then deep vein thrombosis is suspected, but Achilles rupture is not. The diagnosis of Achilles tendon rupture is clinical, based on history and examination. Radiological imaging (ultrasound scan) is useful to plan orthopaedic management and exclude concomitant deep vein thrombosis. In most cases, non-operative management with the ankle held plantar flexed in a boot is the current best practice.


The Foot ◽  
2020 ◽  
pp. 101724
Author(s):  
Daniel M.G. Winson ◽  
Rory MacNair ◽  
Anne-Marie Hutchinson ◽  
Nick J. Owen ◽  
Rhodri Evans ◽  
...  

2014 ◽  
Vol 24 (6) ◽  
pp. 1852-1859 ◽  
Author(s):  
Troels Mark-Christensen ◽  
Anders Troelsen ◽  
Thomas Kallemose ◽  
Kristoffer Weisskirchner Barfod

1989 ◽  
Vol 17 (3) ◽  
pp. 338-343 ◽  
Author(s):  
L. Jozsa ◽  
M. Kvist ◽  
B.J. Balint ◽  
A. Reffy ◽  
M. Jarvinen ◽  
...  

2018 ◽  
Vol 14 (6) ◽  
pp. 295
Author(s):  
Ousseini Adakal ◽  
Moussa Koini ◽  
Abdoulwahab Mohamed ◽  
Sanoussi Akambi Kassoumou ◽  
Harissou Adamou ◽  
...  

Achilles Tendon Rupture (ATR) is a frequently described lesion in sports traumatology. It can occur following certain chronic or systemic diseases. We reported a case of a 48-year-old woman, a teacher by profession, who was consulting for lameness. Anamnesis found during a walk, a brutal sensation of blow on the heel with cowardice and sharp pain at the elective point imposing upon the resting of the patient. Clinical examination noted an increased spontaneous dorsiflexion of the affected ankle, depression corresponding to the tendon continuity solution, and a positive Thompson test. The diagnosis of Achilles Tendon Rupture was made. The patient was operated 2 weeks later by open surgery. A simple suture kept by a plaster splint was performed (the ankle in equinus). Functional rehabilitation was done for 6 weeks, and walking was allowed at the 6th week. In the absence of minimally invasive surgery, conventional surgery can provide good results in case of spontaneous Achilles Tendon Rupture at the cost of rigorous monitoring of the patient.


2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Wafiuddin Ahmad ◽  
Ahmad Faizal Roslan ◽  
Faisal Amir ◽  
Khairul Nizam Siron

Introduction: Achilles tendon is the strongest tendon in the body . Achilles tendon rupture is a debilitating ankle injury especially among the athletes. We would like to highlight an unusual case of acute dual-level injuries of the Achilles tendon. Case report: A 30-year-old footballer presented with left ankle injury during a football tournament. Examination revealed tenderness at posterior left heel, palpable gap at Achilles tendon region and positive Thompson test. Radiological assessment showed dual-level injuries of the Achilles tendon-proximally was a rupture at musculotendinous junction and distally was an avulsion calcaneal fracture. We performed a mini-open approach Achilles tendon reconstruction for this patient. First, we reconstructed the distal avulsion calcaneal fracture using double row anchor sutures technique. Next, we repaired the proximal ruptured Achilles tendon using percutaneous Achilles reconstruction system (PARS) from Arthrex. Postoperatively, patient was put on functional rehabilitation protocol. At present, patient recovers well and regains back the Achilles tendon function. In conclusion, segmental Achilles tendon injury is rare and its surgical treatment can be challenging and must be well-planned.


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