Acute and Chronic Achilles Tendon Ruptures in Athletes

Thompson, Jillian; Baravarian, Bob

doi:10.1016/j.cpm.2010.10.002

Cited by 36 publications

(31 citation statements)

References 94 publications

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“…Especially in the younger age group, the majority of Achilles tendon ruptures are related to sports that require sudden acceleration and jumping [19]. It has been shown that 755 of nearly 4000 ruptures of the Achilles tendon were related to sports activities [21,44]. The incidence of Achilles tendon rupture in men is about 1.7 to 7 times greater than in women [15,16].…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

“…Of the 33 million musculoskeletal injuries reported in the United States per year, roughly 50% involve injuries to the soft tissue including tendon and ligament [1,13,44,45,[47][48][49][50]. As larger portions of the general population participate in physical and recreational activities every year, the frequency of tendon and ligament injuries is likely to increase as well, resulting in increasing health care costs and patient morbidity [1][2][3][4][5]46,48].…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

“…As larger portions of the general population participate in physical and recreational activities every year, the frequency of tendon and ligament injuries is likely to increase as well, resulting in increasing health care costs and patient morbidity [1][2][3][4][5]46,48]. Twenty-five percent of all athletic injuries, irrespective of the specific sport or level of play, involve the foot and ankle [14,15,44]. Here, some epidemiologic aspects of tendon and ligament injuries have been shortly discussed.…”

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

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Tendon and Ligament Tissue Engineering, Healing and Regenerative Medicine

Moshiri¹,

Oryan²

2013

J Sports Med Doping Stud 2013

102

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Tendons transmit forces from muscle to bone and provide the joint function and ligaments transmit forces from bone to bone and provide joint stability. Tendon and ligament injuries have high incidence and management of tendon and ligament injuries is technically demanding because the healing response of these soft connective tissues is low. In addition, number of the available options to be considered as tissue replacement for large defects is low and healing of tendon and ligaments is faced to significant limitations. Among the available options, autografts are still gold standard but all the auto-allo and xenografts have their own limitations. Tissue engineering is a newer option but it is still primitive to be applicable extensively, in clinical setting. Tissue engineering could be divided into four categories including scaffolds, healing promotive factors, stem cells and gene therapy. To be able to have a good judgment regarding the management of tendon and ligament injuries, it is crucial to have a basic knowledge of tendon and ligament healing and regeneration. In this review, we discussed various types of tendon and ligament injuries and their incidence, and introduced the available and future options in managing large and massive tendon and ligament injuries. We specifically discussed the tissue engineering and it's advantageous and disadvantageous. To give a better clarification for the readers, we described different phases and cascades of tendon and ligament healing, modeling and remodeling, host-graft interaction after implantation of the graft and various types of prosthetic implants and finally provided some suggestions for the future investigations.

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Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

Section: Epidemiologic Aspects Of Tendon and Ligament Injuriesmentioning

confidence: 99%

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Tendon and Ligament Tissue Engineering, Healing and Regenerative Medicine

Moshiri¹,

Oryan²

2013

J Sports Med Doping Stud 2013

102

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“…Muchos estudios reportan que la ruptura aguda del tendón de Aquiles se produce principalmente durante las actividades deportivas [6][7][8][9][10] , especialmente en juegos de raqueta, fútbol y balonmano 6,7,10,11 . El mecanismo de lesión incluye un repentino empujón de la parte delantera del pie que soporta el peso con la rodilla en extensión, una dorsiflexión inesperada y una violenta dorsiflexión de un pie en flexión plantar 12 .…”

Section: Introductionunclassified

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

Olivera

2018

Rev. Int. Cienc. Podol.

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Resumen. Introducción: La reparación quirúrgica es un método común para el tratamiento de la ruptura aguda del tendón de Aquiles, ya que, a pesar de presentar un mayor riesgo de complicaciones, ofrece un menor riesgo de rotura recurrente. Sin embargo, análisis recientes basados en el empleo de rehabilitación funcional temprana, han cuestionado esta creencia. El objetivo de este estudio consiste en evaluar la efectividad clínica de ambos tratamientos. Metodología: Se han empleado cuatro bases de datos (Medline, CINAHL, PubMed y Cochrane Library) para la búsqueda de estudios que comparen el tratamiento quirúrgico y el conservador para la ruptura aguda del tendón de Aquiles. La selección de los artículos se realizó en función de los criterios de inclusión y exclusión. Resultados: Los estudios mostraron que el tratamiento quirúrgico presenta una tasa inferior de rotura recurrente (P=0.002) en comparación con el conservador, pero aumenta el riesgo de otras complicaciones (P=0.004). Un análisis de subgrupos reveló una tasa significativamente más alta en relación con la adherencia cicatricial (P<0.00001), la infección superficial (P=0.05) y la perturbación de la sensibilidad (P=0.0003) en el grupo sometido a cirugía. Conclusiones: El tratamiento quirúrgico, en comparación con el conservador, puede reducir eficazmente el riesgo de rotura recurrente, pero incrementa la probabilidad de complicaciones, lo cual suele estar asociado a la cirugía de reparación abierta. No obstante, no hay pruebas suficientes de estudios actuales que apoyen la creencia de que la cirugía puede conducir a una mejor recuperación funcional. Palabras clave: ruptura aguda tendón Aquiles; tratamiento conservador; tratamiento quirúrgico.[en] Surgical versus Conservative Treatment for Acute Achilles Tendon Rupture Abstract. Background: Surgical repair is a common method of treatment of acute Achilles tendon rupture because, despite a higher risk of overall complications,it has been believed to offer a reduced risk of rerupture. However, recent analysis based on using early functional rehabilitation, have challenged this belief. The aim of this study is to evaluate the clinical effectiveness of both treatments. Methods: The search was performed using the following electronic bibliography databases (Medline, CINAHL, PubMed and Cochrane Library) to find studies comparing surgical and conservative treatment for acute Achilles tendon rupture. The selection of items was based on inclusion and exclusion criteria. Results: The studies showed that surgical treatment has a lower rate of rerupture (P=0.002) compared with nonsurgical treatment, but increases the risk of other complications (P=0.004). Subgroup analyses revealed significant differences in relation to scar adhesion (P<0.00001), superficial infection (P=0.05) and sensibility disturbance (P=0.0003) in the group undergoing surgery. Conclusions: Compared with conservative treatment, operative treatment can effectively reduce the risk of rerupture but increase the probability of complications, which is us...

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“…On average, women with tendon rupture are 2-3 years older than men with ruptures. Many studies report that acute Achilles tendon rupture occurs during sports activities [11,[29][30][31], especially in racket games, football and handball [32].…”

Section: Incidencementioning

confidence: 99%

Achilles Tendon Injuries: Comparison of Different Conservative and Surgical Treatment and Rehabilitation

Bistolfi¹

2017

J Nov Physiother Rehabil

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Despite its high incidence and the great development of literature, there is still controversy about the optimal management of Achilles tendon rupture. The several techniques proposed to treat acute ruptures can essentially be classifi ed into: conservative management (cast immobilization or functional bracing), open repair, minimally invasive technique and percutaneous repair with or without augmentation. Although chronic ruptures represent a different chapter, the ideal treatment seems to be surgical too (debridement, local tissue transfer, augmentation and synthetic grafts). In this paper we reviewed the literature on acute injuries.

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Acute and Chronic Achilles Tendon Ruptures in Athletes

Cited by 36 publications

References 94 publications

Tendon and Ligament Tissue Engineering, Healing and Regenerative Medicine

Tendon and Ligament Tissue Engineering, Healing and Regenerative Medicine

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

Achilles Tendon Injuries: Comparison of Different Conservative and Surgical Treatment and Rehabilitation

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