Heelcord Ruptures (Subscribe)  

Achilles tendon rupture is a complete disruption of the Achilles tendon, observed most commonly in patients aged 30-50 years, usually occurring at a point 4-5 cm proximal to the calcaneus. This area above the calcaneus is the zone of poor blood flow in the tendon. Achilles tendonitis is inflammation of the...

The Simmonds–Thompson test, described in 1957 and 1962, respectively, remains the principal clinical test for rupture of an Achilles tendon. However, there is some discrepancy in the literature regarding its mechanical significance. A positive test has been reported to indicate a complete rupture of the tendon, and the cited mechanical...

Since the 1950s the incidence of spontaneous complete rupture of the Achilles tendon has risen steadily, possibly as a result of increased sedentary lifestyles and intermittent participation in recreational sports.[1] Today the Achilles tendon is the second most frequently ruptured tendon,[2] and no other tendon suffers complete rupture more often.[3]...

The differential diagnosis for ruptured Achilles tendon may not be readily forthcoming if edema exists and there are indifferent responses to various manual testing procedures. Ultrasonography may be needed to establish the diagnosis and to determine the apposition of the ruptured tendon ends. This case challenge highlights a patient typical...

Achilles tendon ruptures commonly occur to otherwise healthy men between the ages of 30 and 50 years who have had no previous injury or problem reported in the affected leg. Those who suffer this injury are typically "weekend warriors" who are active intermittently.
Synonyms and related keywords: Achilles tendon rupture,...

Citations on Achilles Tendon (Heelcord) Ruptures. Uses the search string (Achilles Tendon) [MESH] AND (rupture) [MESH] Can be refined for acute/chronic, treatment, outcome etc.

ruptures typically occur after age 30, more often in people beyond middle age;
- rupture at musculous tendinous junction occurs most often in young people, but ruptures near the calcaneus also occur;
- inciting event may be...

Although Achilles tendon ruptures may occur in young athletes, they generally occur in 30- to 40-year-old sedentary males who overexert themselves, usually on weekends. The patient typically presents with pain, ecchymosis, and a history of an audible "pop" in the calf. Usually in these cases, a gap is palpable 2...

The optimal management of chronic ruptures of the Achilles tendon is surgical reconstruction. Reconstruction of the Achilles tendon using peroneus brevis has been widely reported. Classically, these procedures involve relatively long surgical wounds in a relatively hypovascular area which is susceptible to wound breakdown. Results: We describe our current method of...

Mechanical properties during healing of Achilles tendon ruptures to predict final outcome. A pilot Roentgen stereophotogrammetric analysis in 10 patients
Thorsten Schepull , Joanna Kvist , Christer Andersson and Per Aspenberg
BMC Musculoskeletal Disorders 2007, 8:116
Results The strain was median 0.90, 0.32 and 0.14 percent per 100 N tendon force at...

Sept. 25, 2003 — Nonsurgical treatment of Achilles tendon rupture may be best, according to the results of a retrospective cohort study published in the September-October issue of the American Journal of Sports Medicine.

Purpose: To determine the usefulness of clinical imaging in predicting the mechanical properties of rabbit Achilles tendons after acute injury.
Conclusions: Normal peak loads 4 wk after injury were withstood by an enlarged tendon of lower stress. These findings support progressive physical loading 4 wk after an Achilles tendon injury. T1-weighted...

Oct. 15, 2003 (San Diego) — Fluoroquinolone use is associated with increased risk of Achilles tendon rupture, and that increase is "true across the board for exposure to any fluoroquinolone," according to results of nested case-control study reported last week at the 41st annual meeting of the Infectious Diseases Society...

The most common mechanism for TA rupture is pushing off with the weight-bearing forefoot while extending the knee (eccentric contraction of the calf muscles). The same effect can also be created by a sudden unexpected dorsiflexion of the ankle as in a fall from a height.