The epidemiology of achilles tendon rupture in a Danish county

Houshian, Shirzad; Tscherning, Thomas; Riegels-Nielsen, Per

doi:10.1016/s0020-1383(98)00147-8

Cited by 208 publications

(200 citation statements)

References 5 publications

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“…Achilles tendon ruptures (ATR) are seen more often in recent years, with an incidence ranging from 10 to 37 per 100,000 inhabitants [3,6,8,13,15]. In general middleaged individuals are more prone to suffer from ATR [5].…”

Section: Introductionmentioning

confidence: 99%

Results of surgical versus non-surgical treatment of Achilles tendon rupture

Zwaag

Nelissen

Sintenie

2004

International Orthopaedics (SICOT)

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Between 1990 and 2001, 292 patients with acute Achilles tendon rupture were admitted to our institution. Depending on the day of admission patients were allocated either to the Department of Trauma Surgery or to the Department of Orthopaedics. Two hundred and twelve patients (mean age 37±9.4 years) were treated with surgical suture followed by plaster for 6 weeks. Eighty patients were treated non-surgically with splinting for 12 weeks. For both groups mean follow-up was 6±3 years. There were 14 re-ruptures, ten after surgical repair and four after non-surgical treatment. In the surgical group there were seven major wound problems, 11 minor wound complications and six patients with complaints from the sural nerve. In the non-surgical group one patient suffered a pulmonary embolism after a re-rupture, 3 months after the initial rupture. There was no difference in mean ankle score and patient-satisfaction score between groups. Only 52% regained their original sports activity level, slightly better in the surgically treated group. With a nonsignificant difference in re-rupture rate but relatively more complications after surgical repair, non-surgical treatment is preferred. With a slightly better recovery of sports activity after surgical repair, this might be used as an argument for surgical treatment in young athletes.Résumé Entre 1990 et 2001, 292 malades avec une rupture du tendon d'Achille ont été admis dans notre institution. Selon le jour de l'admission les malades ont été alloués au Département de Traumatologie ou au Départe-ment d'Orthopédie. 212 malades (âge moyen 37±9,4 ans) ont été traité par suture chirurgicale suivie d'un plâtre pour 6 semaines et 80 malades ont été traités conservativement avec attelle pour 12 semaines. Pour les deux groupes la moyenne de suivi était de 6±3 années. Il y avait 14 ruptures itératives, 10 après réparation chirurgicale et quatre après traitement non chirurgical. Dans le groupe chirurgical il y avait sept problèmes majeurs de paroi, 11 complications mineures de paroi et six malades avec souffrance du nerf sural. Dans le groupe non chirurgical un malade a eu une embolie pulmonaire après une rupture itérative, trois mois après la rupture initiale. Il n'y avait aucune différence dans le score moyen de la cheville et le score de satisfaction des malades entre les deux groupes. Seulement 52% ont regagné leur niveau d'activité sportive original, légèrement mieux dans le groupe traité chirurgicalement. Avec une différence non significative dans le taux des ruptures itératives mais relativement plus de complications après réparation chirurgicale, le traitement non -chirurgical est préféré. La récupération sportive légèrement meilleure après réparation chirurgicale est un élément de discussion pour le traitement chirurgical chez les jeunes athlètes.

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Section: Introductionmentioning

confidence: 99%

Results of surgical versus non-surgical treatment of Achilles tendon rupture

Zwaag

Nelissen

Sintenie

2004

International Orthopaedics (SICOT)

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“…adaptation; hypertrophy; cartilage oligomeric matrix protein; biomechanics TENDON OVERUSE INJURIES are not only responsible for considerable loss of athletic potential in both horses (30,35,58) and humans (64), but their prevalence appears to be increasing, with a doubling in Achilles tendinopathy in recent years (26,27,34,37,38). While tendons that link muscle to bone can act merely as force transmitters to position limbs, a specific subgroup of tendons whose function is to store elastic energy contributes to efficient locomotion by acting as springs, while the associated muscle fibers serve primarily to dampen vibrations (1,59).…”

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confidence: 99%

Can exercise modulate the maturation of functionally different immature tendons in the horse?

Kasashima

Takahashi²,

Birch³

et al. 2008

Journal of Applied Physiology

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Tendons can be considered in two functional groups, those contributing to energetics of locomotion and those acting solely to position the limb. The energy-storing tendons in both human and equine athletes have a high frequency of injury with similar pathophysiology. In previous studies, high-intensity exercise appears to induce a disruption of the matrix rather than functional adaptation in adults. Here we explore the hypothesis that the introduction of controlled exercise during growth would result in an adaptive response without deleterious effects. Young horses were given a controlled exercise program similar to that previously shown to induce matrix changes in energy-storing tendons of skeletally mature animals. The tendons were assessed in relation to mechanical properties, molecular composition, and morphology. Results showed a significant increase in cartilage oligomeric matrix protein (COMP) in the positional tendon but not in the energy-storing tendon. Other matrix properties and mechanical properties were not significantly changed. While the imposition of high-strain-rate exercise in immature horses failed to augment the development of the energy-storing tendon over and above that induced by normal pasture exercise, it did not induce deleterious changes, supporting an earlier introduction of athletic training in horses.adaptation; hypertrophy; cartilage oligomeric matrix protein; biomechanics TENDON OVERUSE INJURIES are not only responsible for considerable loss of athletic potential in both horses (30,35,58) and humans (64), but their prevalence appears to be increasing, with a doubling in Achilles tendinopathy in recent years (26,27,34,37,38). While tendons that link muscle to bone can act merely as force transmitters to position limbs, a specific subgroup of tendons whose function is to store elastic energy contributes to efficient locomotion by acting as springs, while the associated muscle fibers serve primarily to dampen vibrations (1, 59). The Thoroughbred racehorse is a prime example of an elite animal athlete both in terms of evolution and subsequent genetic selection and conditioning. The superficial digital flexor tendon (SDFT) in the horse is an energy-storing tendon with functional and compositional similarities to the Achilles tendon in humans (7). This tendon is highly susceptible to injury, accounting for 93% of all tendon and ligament injuries in a study by Ely et al. (15) and thus can be used as a "natural" model to study tendon development and degeneration (51). The common digital extensor tendon (CDET) in contrast is a good example of a positional tendon analogous to the anterior tibialis in the human (3, 62).Over the last two decades there has been a great increase in the scientific understanding of the response of bone and muscle to mechanical loading. The mechanobiology of tendon, however, is less well understood. Effects of exercise on tendon properties have been studied in various species, including mouse (36), rat (49, 55), rabbit (61), chicken (2), guinea fowl (8), miniatur...

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“…A Finnish study [3] shows a constant increase in the overall incidence per 100 000 person-years, from 2.1 in 1979 to 21.5 in 2011. Rupture of the Achilles tendon most often involves men aged 30 to 50 years, causing a sudden interruption of physical activity [4][5][6] . Although there are no statistics about the incidence of this pathology in Togo, we have observed a marked increase due to the practice of competitive and recreational sport.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of chronic Achilles tendon rupture functional and anatomical outcomes over a mean follow-up period of two years

Bakriga¹,

Amouzou²,

Kombate³

et al. 2017

Int. J. Orthop. Sci.

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Background: The aim of this paper was to report the functional and clinical results of subcutaneous Achilles tendon rupture repairs through two surgical plasty techniques, with a mean follow-up of 2 years. Patients and methods:This study carries out a retrospective analysis of 27 patients presenting a subcutaneous rupture of Achilles tendon who enderwent surgical treatment between January 2012 and December 2016. Surgical treatment was carried out using the Chigot-Lynn technique for 19 patients and the Bosworth-Lynn technique for the remaining 8 patients. Functional and clinical results were evaluated according to McComis criteria and patient satisfaction. Results: Clinical measurement of the of ankle motion range revealed average flexion of 15 ° and an average extension of 40 °. Amyotrophy of the triceps surae muscle was found in all patients, with an average 2 cm. Residual pain was found in four patients. Average sick leave was 4 months. 8 patients had resumed sport at their previous level of training, 3 patients had returned to lower levels of sport, and one patient had abandoned their sporting activity. The results were considered highly satisfactory or satisfactory by 24 patients, good by two patients and poor by one patient. Conclusion: Chronic ruptures of the Achilles tendon remain a therapeutic challenge for the orthopaedic surgeon. Surgery with a reinforcement plasty must be proposed to patients who are active or have sports activities. Surgical repair reduce iterative ruptures and ensure the best functional recovery.

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The epidemiology of achilles tendon rupture in a Danish county

Cited by 208 publications

References 5 publications

Results of surgical versus non-surgical treatment of Achilles tendon rupture

Results of surgical versus non-surgical treatment of Achilles tendon rupture

Can exercise modulate the maturation of functionally different immature tendons in the horse?

Surgical treatment of chronic Achilles tendon rupture functional and anatomical outcomes over a mean follow-up period of two years

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