scholarly journals Achilles Tendon Rupture: Double the Trouble

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Wafiuddin Ahmad ◽  
Ahmad Faizal Roslan ◽  
Faisal Amir ◽  
Khairul Nizam Siron
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Calcaneal Fracture ◽  
The Body ◽  
Ankle Injury ◽  
Open Approach ◽  
Functional Rehabilitation ◽  
Double Row ◽  
Musculotendinous Junction

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.

Functional rehabilitation of patients with acute Achilles tendon rupture: a meta-analysis of current evidence

2014 ◽  
Vol 24 (6) ◽  
pp. 1852-1859 ◽  
Author(s):  
Troels Mark-Christensen ◽  
Anders Troelsen ◽  
Thomas Kallemose ◽  
Kristoffer Weisskirchner Barfod
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Meta Analysis ◽  
Achilles Tendon Rupture ◽  
Current Evidence ◽  
Functional Rehabilitation

scholarly journals Rupture Spontanee Du Tendon D’achille Sur Terrain Diabetique : A Propos Du Cas

2018 ◽  
Vol 14 (6) ◽  
pp. 295
Author(s):  
Ousseini Adakal ◽  
Moussa Koini ◽  
Abdoulwahab Mohamed ◽  
Sanoussi Akambi Kassoumou ◽  
Harissou Adamou ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Open Surgery ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Conventional Surgery ◽  
Functional Rehabilitation ◽  
Tendon D’Achille ◽  
Sharp Pain ◽  
The Cost ◽  
Sports Traumatology

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.

scholarly journals Management of acute Achilles tendon ruptures

2018 ◽  
Vol 7 (10) ◽  
pp. 561-569 ◽  
Author(s):  
X. Yang ◽  
H. Meng ◽  
Q. Quan ◽  
J. Peng ◽  
S. Lu ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Open Repair ◽  
Weight Bearing ◽  
Achilles Tendon Rupture ◽  
Complication Rates ◽  
Functional Rehabilitation ◽  
Percutaneous Repair ◽  
Tendon Ruptures ◽  
Mini Open

ObjectivesThe incidence of acute Achilles tendon rupture appears to be increasing. The aim of this study was to summarize various therapies for acute Achilles tendon rupture and discuss their relative merits.MethodsA PubMed search about the management of acute Achilles tendon rupture was performed. The search was open for original manuscripts and review papers limited to publication from January 2006 to July 2017. A total of 489 papers were identified initially and finally 323 articles were suitable for this review.ResultsThe treatments of acute Achilles tendon rupture include operative and nonoperative treatments. Operative treatments mainly consist of open repair, percutaneous repair, mini-open repair, and augmentative repair. Traditional open repair has lower re-rupture rates with higher risks of complications. Percutaneous repair and mini-open repair show similar re-rupture rates but lower overall complication rates when compared with open repair. Percutaneous repair requires vigilance against nerve damage. Functional rehabilitation combining protected weight-bearing and early controlled motion can effectively reduce re-rupture rates with satisfactory outcomes. Biological adjuncts help accelerating tendon healing by adhering rupture ends or releasing highly complex pools of signalling factors.ConclusionThe optimum treatment for complete rupture remains controversial. Both mini-open repair and functional protocols are attractive alternatives, while biotherapy is a potential future development. Cite this article: X. Yang, H. Meng, Q. Quan, J. Peng, S. Lu, A. Wang. Management of acute Achilles tendon ruptures: A review. Bone Joint Res 2018;7:561–569. DOI: 10.1302/2046-3758.710.BJR-2018-0004.R2.

scholarly journals Heterotopic Ossification After an Achilles Tendon Rupture Cannot Be Prevented by Early Functional Rehabilitation

2020 ◽  
Vol 478 (5) ◽  
pp. 1101-1108 ◽  
Author(s):  
S. Peter Magnusson ◽  
Anne-Sofie Agergaard ◽  
Christian Couppé ◽  
René B. Svensson ◽  
Susan Warming ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Heterotopic Ossification ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Functional Rehabilitation

Acute Achilles tendon rupture: Do cast boots produce adequate equinus when used for functional rehabilitation?

The Foot ◽  
2018 ◽  
Vol 37 ◽  
pp. 1-4 ◽  
Author(s):  
David R.W. MacDonald ◽  
David Neilly ◽  
Joseph Littlechild ◽  
Fraser Harrold ◽  
Sam C. Roberts
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Functional Rehabilitation
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