Acute Achilles Tendon Rupture

Kauwe, Merrell

doi:10.1016/j.cpm.2016.10.009

Cited by 50 publications

(35 citation statements)

References 79 publications

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“…In our study, clinical tests were positive in approximately 92% of the cases with Achilles tendon tear. Kauwe et al also stated that physical examination has high sensitivity and specificity for Achilles tendon tear (15) .…”

Section: Discussionmentioning

confidence: 99%

Comparison of high resolution ultrasonography with clinical findings in patients with ankle pain

Singh¹,

Thukral²,

Gupta³

et al. 2018

J Ultrason

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Aim: The aim of this study was to investigate the diagnostic accuracy of high resolution ultrasonography for the assessment of painful ankle joint as compared with the clinical findings. Material and Methods: A prospective study was conducted on 136 patients having history of ankle pain and referred to the Department of Radiodiagnosis and Imaging for ultrasonography. Statistical analysis: Comparison of ultrasonography findings and clinical findings was done using McNemar Test. Results: 136 patients with 218 pathologies of the ankle joint were analyzed. Of these, 178 pathologies were clinically suspected, but 206 were diagnosed with ultrasonography. This difference was statistically significant ( p value = 0.000). Conclusion: Ultrasonography is an excellent tool for evaluating patients with ankle pain, especially in cases of lateral ligament pathologies, tendinous pathologies, joint effusion, and miscellaneous pathologies. It can be used as the primary imaging investigation because it allows a rapid, dynamic, and cost-effective examination of the ankle joint. However, ultrasonography has limitations when using it to evaluate a suspected posterior talofibular ligament injury, marrow abnormalities, and deep seated pathologies, for which MRI should be incorporated for a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Comparison of high resolution ultrasonography with clinical findings in patients with ankle pain

Singh¹,

Thukral²,

Gupta³

et al. 2018

J Ultrason

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“…The Achilles tendon is connective tissue and is mainly composed of the extracellular matrix. The Achilles tendon comprises a large amount of vertically arranged type I collagen, a small amount of types III and V collagen, and proteoglycan, and it is the strongest and largest tendon in the human body (17,18). ATR is a common injury.…”

Section: Discussionmentioning

confidence: 99%

Elevated lipid levels in patients with achilles tendon ruptures: a retrospective matching study

Yang¹,

Tao²,

Gao³

et al. 2020

Ann Transl Med

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Background: Achilles tendon rupture (ATR) can lead to significant disability of patients. However, whether serum lipid levels are associated with ATR is still unclear. This study aimed to examine the difference in lipid levels between patients with and those without ATR.Methods: Patients who received ATR surgery during January 2017 to December 2017 were categorized into the case group, and those who had physical examinations during the same period without ATR were in the control group. Different matching methods [case-control matching (CCM) and propensity score matching (PSM)] were used to match the cases and controls at a 1:1 ratio.Results: Among a total of 216 pairs of subjects with CCM, cholesterol, triglyceride, and low-density lipoprotein (LDL) levels were significantly higher (all P<0.05) in the case group than in the control group.Among 241 pairs of subjects with PSM, the same results as those with CCM were obtained. Abnormal rates of cholesterol, triglyceride, and LDL levels in the case group were also significantly higher than those in the control group in CCM and PSM (all P<0.05). After adjusting for the factors of height and weight, there were still significant differences in cholesterol, triglyceride, and LDL levels, as well as high-density lipoprotein levels, between the case and control groups (all P<0.05).Conclusions: Cholesterol, triglyceride, and LDL levels in patients with ATR are higher than those in healthy people. Further studies are required to verify the effect of some components of lipids on Achilles tendon structure.

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“…A história clínica e o exame físico são essenciais para o diagnóstico, tendo o exame físico elevada sensibilidade e especificidade. 13 A história clínica encaminha-nos facilmente para o diagnóstico, principalmente em atletas, no entanto estima-se que em 20% a 25% dos casos as ruturas do tendão de Aquiles não são inicialmente diagnosticadas. 13, 14 Os doentes geralmente referem uma sensação de estalido e de um golpe no pé.…”

Section: Diagnósticounclassified

“…O teste de Thompson (figura 1a) é o que tem maior sensibilidade (96%) e especificidade (93%). 13 Quantos aos exames complementares de diagnóstico, a radiografia pode demonstrar edema dos tecidos moles e, na incidência de perfil, uma alteração da nitidez do triângulo de Kager. 13, 14 A ecografia e a ressonância magnética são instrumentos de diagnóstico que podem ser úteis quando o diagnóstico com os achados clínicos é equívoco.…”

Section: Diagnósticounclassified

Caso clínico - Rutura do Tendão de Aquiles: do Diagnóstico à Retoma Desportiva

Fabião¹,

Azevedo²,

Andrade³

et al. 2023

revdesp

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Achilles tendon ruptures are the most common tendinous lesions in the adult population. The incidence has been rising, and it is more common between men and athletes. Achilles tendon rupture is a very relevant injury for athletes as it can threaten their career, with 20% to 40% not returning to elite sport. With the advent of better rehabilitation programs and new options available, the conservative treatment has become more popular and recent studies demonstrated similar outcomes compared with surgery. The conservative option is based on the principle of cast splint immobilization or functional braces, early weight-bearing and physical rehabilitation. The surgical treatment is based in open, mini-open and percutaneous approaches, with the goal to restore length and tension of the tendon. Percutaneous and mini-open techniques seem to have some benefit, as they reduce the risk of complications and an earlier return to physical activities.

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Acute Achilles Tendon Rupture

Cited by 50 publications

References 79 publications

Comparison of high resolution ultrasonography with clinical findings in patients with ankle pain

Comparison of high resolution ultrasonography with clinical findings in patients with ankle pain

Elevated lipid levels in patients with achilles tendon ruptures: a retrospective matching study

Caso clínico - Rutura do Tendão de Aquiles: do Diagnóstico à Retoma Desportiva

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