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Achilles Tendon Rupture

Tendon Achilles Rupture of


Presentation

  • In this case report, we present a rare case of a patient presented with unilateral spontaneous rupture of Achilles tendon due to AKU. The patient developed most of the orthopedic manifestations of the disease earlier than typical presentations.[ncbi.nlm.nih.gov]
Difficulty Walking
  • Additionally, because the function of the Achilles tendon is to enable plantarflexion (bending the foot downward), patients often have difficulty walking or standing up on their toes.[ucsfhealth.org]
  • walking (especially upstairs or uphill) and difficulty rising up on the toes These symptoms require prompt medical attention to prevent further damage.[foothealthfacts.org]
Noncompliance
  • One patient in each group was noncompliant and required surgical rerepair of the tendon. There were no differences in complications and a similar low number of reruptures in both groups.[ncbi.nlm.nih.gov]
Soft Tissue Mass
  • No soft-tissue masses, bone formation or tumors were observed in the operative extremity.[ncbi.nlm.nih.gov]
Italian
  • A 39-year-old (height 178 cm, weight 75 kg) elite soccer defender player, playing in Italian Serie-A league. Days of absence were lower compared to a cohort presented in UEFA study (119 versus 161 65 days, respectively).[ncbi.nlm.nih.gov]
Protein S Deficiency
  • MTP pulse therapy in a lupus patient with hypercoaguable state with hyperhomocysteinemia, protein S deficiency and high titer antiphospholipid antibodies may cause spontaneous tendon rupture.[ncbi.nlm.nih.gov]
Erythema
  • Upon physical examination, a significant increase in nasal volume, telangiectasias, erythema, cutaneous thickening, nodules, and dilated pilosebaceous pores were observed.[rbcp.org.br]
  • On examination, she was found to have swelling and erythema on the posterior portion of the heel at the tendon insertion. The bursa was easily palpated, and this action produced pain.[aafp.org]
Heel Pain
  • She also had right heel pain and had received multiple steroid injections at the knee joint and heel.[ncbi.nlm.nih.gov]
  • Patients often complain of heel pain and a sensation that someone struck the back of their leg or they were “shot” in the heel when a tear occurs. A "pop" or “explosion” is frequently felt when the tendon ruptures.[rothmaninstitute.com]
  • If you feel a "pop" sensation in your heal or experience a lot of heel pain, you might have a rupture.[philly.com]
Foot Pain
  • Don’t live with traumatic foot pain–regain your livelihood starting today. Contact us to schedule an appointment at our Scottsdale office![arizonafoot.com]
Knee Pain
  • A 64-year-old woman presented with persistent right knee pain. She also had right heel pain and had received multiple steroid injections at the knee joint and heel.[ncbi.nlm.nih.gov]
Neglect
  • Numerous surgical procedures have been described for the reconstruction of neglected AT ruptures. However, no report has been issued about an AT rupture neglected for more than 2 years.[ncbi.nlm.nih.gov]
Paresthesia
  • Transient paresthesia of the heel occurred in 12 patients. No sural nerve lesions were reported. There was no significant difference between groups regarding lower leg circumference, disability, or function.[ncbi.nlm.nih.gov]

Workup

  • Differential Diagnoses Achilles tendinosis Calf strain Deep vein thrombosis of leg Ankle arthritis Lab Studies Not required for diagnosis but may be done for workup for surgery or to rule out other conditions.[boneandspine.com]
  • […] ultrasonography can identify a ruptured Achilles tendon or the signs of tendinosis Magnetic resonance imaging (MRI): MRI can facilitate definitive diagnosis of a disrupted tendon and can be used to distinguish between paratenonitis, tendinosis, and bursitis See Workup[emedicine.com]

Prognosis

  • Prognosis Achilles tendon injury has a good prognosis but the slight loss of function may be very significant for the competitive athlete.[patient.info]
  • Ruptured Achilles Tendon Prognosis You will normally be in your CAM brace for between 6 to 12 weeks. If everything goes perfectly during your rehabilitation it takes at least 12 weeks before a return to sport is possible.[physioworks.com.au]
  • What is the prognosis of an Achilles tendon rupture? When proper treatment and rehabilitation are undertaken, the prognosis is excellent. The majority of athletes can return to their previous exercise or sports.[medicinenet.com]

Etiology

  • The proposed etiologies include nonabsorbable suture granuloma formation, alteration of the pain receptors threshold in the tendon, and distension of the paratenon by the hypertrophied tendon, underlying tendinopathy, postrepair neovascularization, and[ncbi.nlm.nih.gov]
  • The requested page "/publication/achilles-tendon-rupture-review-etiology-population-anatomy-risk-factors-and-injury" could not be found.[nmrl.pitt.edu]
  • Achilles tendon rupture: a review of etiology, population, anatomy, risk factors, and injury prevention. Foot Ankle Spec. 2010;3(1):29-32. Chiodo CP, Glazebrook M, Bluman EM et al. J AM Acad Orthop Surg. 2010;18(8):503-510. Simmonds FA.[westjem.com]
  • The etiology of Achilles tendon rupture is multifactorial, but the injury occurs most frequently in the athletic population.[lermagazine.com]
  • Achilles Tendon ICD-10 codes A initial encounter, D subsequent encounter, S sequela Achilles Tendon Rupture ICD-9 727.67 (Rupture of tendon, nontraumatic; Achilles tendon) 845.09 (Sprain and strain of ankle and foot; Achilles tendon) Achilles Tendon Etiology[eorif.com]

Epidemiology

  • There have been no previous reports of Achilles tendon rupture with Nintendo Wii usage; it is a relatively uncommon mode of injury and is rare in terms of epidemiology of motion sensing video game injuries.[ncbi.nlm.nih.gov]
  • Epidemiology of basketball and netball injuries that resulted in hospital admission in Australia, 2000-2004. Med J Aust 2009;190(2):87-90. Davis JJ, Mason KT, Clark DA.[lermagazine.com]
  • Epidemiology Achilles tendinopathy typically affects athletes; long-distance runners have a lifetime risk of 52%.[patient.info]
  • Tendon ICD-10 codes A initial encounter, D subsequent encounter, S sequela Achilles Tendon Rupture ICD-9 727.67 (Rupture of tendon, nontraumatic; Achilles tendon) 845.09 (Sprain and strain of ankle and foot; Achilles tendon) Achilles Tendon Etiology / Epidemiology[eorif.com]
  • Antonius Hospital, Nieuwegein, Netherlands 6 Department of Orthopedic Surgery, Spaarne Hospital, Hoofddorp, Netherlands 7 Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands Correspondence to: Yassine Ochen yassineochen[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • There was no obvious underlying disease or pathophysiological factor causing fragility of his Achilles tendons.[ncbi.nlm.nih.gov]
  • "Tendinopathy: Update on Pathophysiology." Journal of Orthopaedic & Sports Physical Therapy. 2015; 45(11) : 833-841.[orthopedics.about.com]
  • The 2 most frequently discussed pathophysiological theories involve chronic degeneration of the tendon and failure of the inhibitory mechanism of the musculotendinous unit.[link.springer.com]
  • Pathophysiology Achilles tendonitis was the term originally used to describe the spectrum of tendon injuries ranging from inflammation to tendon rupture, but it now is seen as more of a garbage term.[emedicine.com]

Prevention

  • Prevention To reduce your chance of developing Achilles tendon problems, follow these tips: Stretch and strengthen calf muscles. Stretch your calf until you feel a noticeable pull but not pain. Don't bounce during a stretch.[mayoclinic.org]
  • CONCLUSION: The posterolateral skin incision, not above the tendon, preserves the vascularity of the soft tissues, allows identifying and not accidentally injuring the sural nerve, and prevents the cutaneous scar is overlapped the tendon.[ncbi.nlm.nih.gov]
  • RELATED: What it Takes to Recover From an Achilles Injury Prevention Prevention of Achilles tendon injuries can be difficult if you do not display any symptoms.[stack.com]
  • Wrap the foot and ankle in an elastic bandage to prevent further swelling. Elevation. Keep the leg elevated to reduce the swelling. It should be even with or slightly above heart level.[foothealthfacts.org]
  • To prevent injury when starting a new exercise regime, gradually increase the intensity of your exercise and the length of time you spend exercising.[global.ihi.com]

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