Acute Achilles tendon rupture treatment: Where are we now?

Aujla, Randeep; Sapare, Sarang; Bhatia, Maneesh

doi:10.1016/j.jajs.2018.02.003

Cited by 2 publications

(1 citation statement)

References 66 publications

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“…The Achilles tendon is the strongest tendon in the human body with a crucial role in transmitting mechanical energy generated by the triceps surae complex. Incidence of Achilles tendon rupture has been estimated at between 6-21.5 per 100,000 [1,2] with notable increases being reported in recent decades [3]. Although non-operative treatment of Achilles tendon ruptures avoids many of the complications associated with surgery (e.g.…”

Section: Introductionmentioning

confidence: 99%

Morphological and functional outcomes of operatively treated Achilles tendon ruptures

Nicholson

Walker

Dawson

et al. 2019

The Physician and Sportsmedicine

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Objectives: Achilles tendon rupture leads to functional impairments and these may be underpinned by morphological changes in the muscle-tendon unit. Functional performance of the injured limb will be impaired regardless of time since surgery and these impairments occur alongside changes in muscle-tendon morphology. Methods: Following operative treatment of Achilles tendon rupture and short term immobilisation, 12 patients completed a battery of tests during a single visit to the laboratory (performed an average of 4.4 ± 2.6 years post-surgery). Patients completed the Achilles' tendon rupture score (ATRS), tests of ankle and hip range of motion (ROM) and ultrasound measurements of muscle-tendon architecture. Data on isokinetic (30 o /s, 60 o /s) plantar flexion strength, jumping performance and walking-running were also collected on the same visit. Percentage deficits were expressed relative to the non-injured limb and determined for statistical significance (p < 0.05). Relationships between outcomes measures and time since surgery were tested using Pearson's correlation coefficients (p < 0.05). Results: The repaired limb showed a shorter muscle fascicle length (12.1-19.6%), increased fascicle pennation (18.0±22.14%) and reduced muscle thickness (9.1-20.1%) in the gastrocnemius and/or soleus along with greater tendon cross-sectional area (46.7±34.47%). Functionally, the repaired limb displayed lower countermovement jump height (-12.6±15.68%) and longer drop jump contact times (5.5±5.7%). Also, the repaired limb showed reduced hip internal-external ROM (6.3±8.2%) but no differences existed between limbs for plantar flexion ROM and strength or gait characteristics. Good ATRS outcomes were reported (mean: 87.9±16.2, range: 43-100) which related to time since surgery (r=0.79) but individual ATRS items did not correlate with corresponding objective measures. Conclusion: Plantar flexor atrophy following surgically treated Achilles tendon rupture is partially compensated for by remodelling of the fascicles however, impairments may still persist many years into the postoperative period although these may be more pronounced in high-velocity activities.

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Section: Introductionmentioning

confidence: 99%

Morphological and functional outcomes of operatively treated Achilles tendon ruptures

Nicholson

Walker

Dawson

et al. 2019

The Physician and Sportsmedicine

View full text Add to dashboard Cite

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French translation and validation of the Achilles Tendon Total Rupture Score “ATRS”

Buckinx

Lecoq

Bornheim

et al. 2020

Foot and Ankle Surgery

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Background: To provide a cross-cultural French adaptation of the Achille's Tendon Total Rupture Score (ATRS) and to assess its psychometric performances. Method: The ATRS questionnaire was first translated and inter-culturally adapted into French according to international guidelines. Then, 95 subjects were recruited to complete the French version of the ATRS twice (2 weeks of interval). The SF-36 and VISA-A were used as comparative questionnaires. The psychometric properties of the questionnaire were evaluated (test-retest reliability, internal consistency, construct validity, floor/ceiling effects). Results: Thetest-retest reliability was excellent (ICC of 0,966 (95% CI:0.644-0.879)) and the internal consistency very high (Cronbach's alpha of 0,98). The convergent and divergent construct validity were also confirmed. Finally, none of the subjects obtained the lowest score (0) or the maximal score (100) to the questionnaire. Conclusion: A valid and reliable French version of the ATRS is now available.

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Acute Achilles tendon rupture treatment: Where are we now?

Cited by 2 publications

References 66 publications

Morphological and functional outcomes of operatively treated Achilles tendon ruptures

Morphological and functional outcomes of operatively treated Achilles tendon ruptures

French translation and validation of the Achilles Tendon Total Rupture Score “ATRS”

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