Acute Achilles Tendon Ruptures

Weatherall, Justin M; Mroczek, Kenneth; Tejwani, Nirmal C.

doi:10.3928/01477447-20100826-21

Cited by 40 publications

(27 citation statements)

References 39 publications

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“…However, some researchers believe that in response to resistance training, the tendon cross-sectional area is not affected. They recognize the importance of changes in the material composition of the tendon, which augments collagen synthesis and consequently, modifies the tendon properties and increases Young's modulus and stiffness [37,40,41]. This is an adaption to repetitive forces which ultimately transforms the tissue composition and biomechanical behavior [37].…”

Section: Biomechanicsmentioning

confidence: 99%

“…Because diagnosis of AT ruptures is mainly clinical, imaging studies have little role in this aspect and should be reserved for uncertain diagnosis or differentiating between partial and complete tears [40,78]. Diagnosis of acute AT rupture should be made on clinical basis.…”

Section: Diagnosismentioning

confidence: 99%

“…Ultrasonography (US) is noninvasive, rapid, repeatable and it allows practitioners to perform a dynamic study [40]. It is also used as part of the treatment follow-up and to measure the gap in between the tendon ends; and may give information about the risk of re-rupture preoperatively.…”

Section: Diagnosismentioning

confidence: 99%

See 2 more Smart Citations

Achilles Tendon and Athletes

Alrashidi¹,

Fernandez-Marin²,

Galhoum³

et al. 2018

Update in Management of Foot and Ankle Disorders

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Achilles tendon (AT) is the strongest human tendon. AT disorders are common among athletes. AT pathologies vary from tendinopathy to frank rupture. Diagnosis is made clinically. Imaging modalities are used adjunctively. Management of AT rupture in athletes is challenging to surgeons due to worldwide growing popularity of sports and potential social and financial impact of AT injury to an athlete. Hence, new surgical techniques aim at attaining quick recovery with good outcome, finding similar results with both open and percutaneous techniques when accompanying these with functional rehabilitation protocols. Non-operative strategies include shoe wear modification, physiotherapy and extracorporeal shock wave therapy. Surgical interventions vary based on the AT pathology nature and extent. Direct repair can work for small-sized defects. V-Y gastrocnemius advancement could approximate the tendon edges for repair within 2-8 cm original gap. Gastrocnemius turndown can bridge tendon loss > 8 cm. Autogenous, allogeneous or synthetic tendon grafts were used for AT reconstruction purposes. In AT tendinopathies with no tendon tissue loss, surgical procedures revolve around induction of tissue repair through lesion incision or debridement to full detachment followed by reattachment. Extra-precautions are exercised for prevention of AT disorders especially among susceptible athletes participating in sports involving excessive AT strain.

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Section: Biomechanicsmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Achilles Tendon and Athletes

Alrashidi¹,

Fernandez-Marin²,

Galhoum³

et al. 2018

Update in Management of Foot and Ankle Disorders

View full text Add to dashboard Cite

show abstract

“…There has been an increase in incidence over the last half century [3], with studies reporting up to 18 per 100,000 [1]. Acute ruptures of the Achilles tendon most commonly affect individuals in their third to fifth decade of life who are intermittently active [4]. The etiology of Acute Achilles tendon ruptures is multi-factorial and includes overuse injuries, host factors, medications, or inappro-priate footwear [5].…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies have shown successful outcomes with non-operative and operative treatment. Comparative studies between non-operative and operative treatment showed a higher rate of re-rupture with nonoperative treatment, but also showed risks of wound healing, wound infection, and nerve injury with operative treatment [4][5][6][7][8]. Studies have published a re-rupture rate of 4.3% to 23% in non-operatively treated patients compared to 1.7% to 10% for operatively treated patients [9].…”

Section: Introductionmentioning

confidence: 99%

Incidence and Predictors of Complications of Acute Achilles Tendon Rupture Repair at Hamad General Hospital, Doha, Qatar

Abolfotouh¹,

Dosari²,

Sayed³

et al. 2014

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Aim: The aims of this study were: 1) to estimate the prevalence and pattern of complications after Achilles tendon (AT) repair, and 2) to determine the significant predictors of post-operative infection. Methods: A retrospective cohort study of all patients who were operated at Hamad General Hospital (HGH) between June 2010 and June 2012 for AT rupture (n = 102), was conducted. Data was collected on 1) patient' characteristics such as age, sex; 2) disease characteristics such as mechanism of rupture, type of rupture (partial or complete), whether an anterior or posterior slab was applied, number of suture materials, number of antibiotics, surgical time, time to surgery and length of hospital stay (LOS), number of follow up visits, and 3) complications. Descriptive and analytical statistical analyses were applied. Receiver operating characteristic curve was applied to identify the validity of different LOS values, with a significance level at p ≤ 0.05. Results: Of the 102 patients with Achilles rupture, almost males (96.1%), with a mean age 31.07 ± 9.71 years, 52% with complete rupture, the majority were open ruptures (81.4%) and bathroom-related (70.6%). Anterior slab was applied to 58.2% and 2 types of suture materials to 71.6% of cases. Fifteen cases (14.7%, 95% CI: 7.8% -21.6%) presented with one or more complications (9.8% post-operative infections, 5.9% stiffness and 2% re-rupture). Post-operative infections were significantly associated with: old age (z = 2.11, p = 0.035), longer LOS (z = 2.01, p = 0.04), and presence of diabetes (Fisher exact test: p = 0.003). After adjustment for age, LOS (p = 0.04) and diabetes (p = 0.017) remained as significant predictors of post-operative infections. LOS of 2.5 days was the optimum cut-off point above which post-operative infection is more likely to occur, with sensitivity of 80% and specificity of 54%. Conclusion: Achilles repair post operative infection ranks first as a complication of AT surgical repair, and its incidence is relatively higher in HGH than the counterpart figures in the literature. The presences of diabetes and LOS are independent predictors of this infection. Further prospective studies are recommended to control for all possible confounders of outcome of AT rupture repair.

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Sports Medicine of the Foot & Ankle, the Role of Imaging

Latting

Spritzer

2016

Foot and Ankle Sports Orthopaedics

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Acute Achilles Tendon Ruptures

Cited by 40 publications

References 39 publications

Achilles Tendon and Athletes

Achilles Tendon and Athletes

Incidence and Predictors of Complications of Acute Achilles Tendon Rupture Repair at Hamad General Hospital, Doha, Qatar

Sports Medicine of the Foot & Ankle, the Role of Imaging

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