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Acute Achilles tendon rupture
Arthrosc Orthop Sports Med 2017;4:59-65
Published online July 1, 2017;  https://doi.org/10.14517/aosm17008
© 2017 Korean Arthroscopy Society and Korean Orthopedic Society for Sports Medicine.

Youngseok Moon, Keun-Young Choi, Jae Hoon Ahn

Department of Orthopaedic Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Jae Hoon Ahn,
Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea.
Tel: +82-2-2258-2837, Fax: +82-2-535-9834, E-mail: jahn@catholic.ac.kr
Received May 19, 2017; Revised June 13, 2017; Accepted June 24, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The incidence of Achilles tendon ruptures has risen with the increase in the level of sports activity of the average individual. An Achilles tendon rupture is generally diagnosed on the basis of clinical findings, sometimes in conjunction with ultrasound or magnetic resonance imaging tests. The treatment of Achilles tendon ruptures is broadly divided into surgical treatment and conservative treatment, and the gold standard treatment remains a controversial issue. The surgical treatment of Achilles tendon ruptures has been reported to be associated with a lower re-tear rate and thus has been the conventional choice of treatment, in particular the direct repair for its ability to restore muscle strength. But recently percutaneous repairs and minimally invasive methods have become more widespread. And the previously undervalued functional rehabilitation such as early weight-bearing and postoperative joint exercises has gained greater importance for their capacity to restore tendon function.
Keywords : Achilles tendon rupture; Conservative treatment; Direct repair; Functional rehabilitation
References
  1. Thompson J, Baravarian B. Acute and chronic Achilles tendon ruptures in athletes. Clin Podiatr Med Surg 2011;28:117-35.
    Pubmed CrossRef
  2. Maquirriain J. Achilles tendon rupture: avoiding tendon lengthening during surgical repair and rehabilitation. Yale J Biol Med 2011;84:289-300.
    Pubmed KoreaMed
  3. Gulati V, Jaggard M, Al-Nammari SS, et al. Management of Achilles tendon injury: a current concepts systematic review. World J Orthop 2015;6:380-6.
    Pubmed KoreaMed CrossRef
  4. Parekh SG, Wray WH 3rd, Brimmo O, Sennett BJ, Wapner KL. Epidemiology and outcomes of Achilles tendon ruptures in the National Football League. Foot Ankle Spec 2009;2:283-6.
    Pubmed CrossRef
  5. Lea RB, Smith L. Non-surgical treatment of tendo Achillis rupture. J Bone Joint Surg Am 1972;54:1398-407.
    CrossRef
  6. Möller A, Astron M, Westlin N. Increasing incidence of Achilles tendon rupture. Acta Orthop Scand 1996;67:479-81.
    Pubmed CrossRef
  7. Nyyssönen T, Lüthje P, Kröger H. The increasing incidence and difference in sex distribution of Achilles tendon rupture in Finland in 1987-1999. Scand J Surg 2008;97:272-5.
    Pubmed CrossRef
  8. Nillius SA, Nilsson BE, Westlin NE. The incidence of Achilles tendon rupture. Acta Orthop Scand 1976;47:118-21.
    Pubmed CrossRef
  9. Maffulli N, Waterston SW, Squair J, Reaper J, Douglas AS. Changing incidence of Achilles tendon rupture in Scotland: a 15-year study. Clin J Sport Med 1999;9:157-60.
    Pubmed CrossRef
  10. Sode J, Obel N, Hallas J, Lassen A. Use of fluroquinolone and risk of Achilles tendon rupture: a population-based cohort study. Eur J Clin Pharmacol 2007;63:499-503.
    Pubmed CrossRef
  11. Movin T, Ryberg A, McBride DJ, Maffulli N. Acute rupture of the Achilles tendon. Foot Ankle Clin 2005;10:331-56.
    Pubmed CrossRef
  12. Gwynne-Jones DP, Sims M, Handcock D. Epidemiology and outcomes of acute Achilles tendon rupture with operative or nonoperative treatment using an identical functional bracing protocol. Foot Ankle Int 2011;32:337-43.
    Pubmed CrossRef
  13. Coughlin MJ, Saltzman CL, Anderson RB. Mann’s surgery of the foot and ankle. 9th ed. Philadelpia, PA: Elsevier; 2014.
  14. Arner O, Lindholm A, Orell SR. Histologic changes in subcutaneous rupture of the Achilles tendon; a study of 74 cases. Acta Chir Scand 1959;116:484-90.
    Pubmed
  15. Flik KR, Bush-Joseph CA, Bach BR Jr. Complete rupture of large tendons: risk factors, signs, and definitive treatment. Phys Sportsmed 2005;33:19-28.
    CrossRef
  16. Barfred T. Experimental rupture of the Achilles tendon. Comparison of various types of experimental rupture in rats. Acta Orthop Scand 1971;42:528-43.
    Pubmed CrossRef
  17. Ahmed IM, Lagopoulos M, McConnell P, Soames RW, Sefton GK. Blood supply of the Achilles tendon. J Orthop Res 1998;16:591-6.
    Pubmed CrossRef
  18. Bernard-Beaubois K, Hecquet C, Hayem G, Rat P, Adolphe M. In vitro study of cytotoxicity of quinolones on rabbit tenocytes. Cell Biol Toxicol 1998;14:283-92.
    Pubmed CrossRef
  19. Maffulli N, Longo UG, Maffulli GD, Rabitti C, Khanna A, Denaro V. Marked pathological changes proximal and distal to the site of rupture in acute Achilles tendon ruptures. Knee Surg Sports Traumatol Arthrosc 2011;19:680-7.
    Pubmed CrossRef
  20. Maffulli N, Ewen SW, Waterston SW, Reaper J, Barrass V. Tenocytes from ruptured and tendinopathic Achilles tendons produce greater quantities of type III collagen than tenocytes from normal Achilles tendons. An in vitro model of human tendon healing. Am J Sports Med 2000;28:499-505.
    Pubmed CrossRef
  21. Komi PV, Fukashiro S, Järvinen M. Biomechanical loading of Achilles tendon during normal locomotion. Clin Sports Med 1992;11:521-31.
    Pubmed
  22. Newnham DM, Douglas JG, Legge JS, Friend JA. Achilles tendon rupture: an underrated complication of corticosteroid treatment. Thorax 1991;46:853-4.
    Pubmed KoreaMed CrossRef
  23. Claessen FM, de Vos RJ, Reijman M, Meuffels DE. Predictors of primary Achilles tendon ruptures. Sports Med 2014;44:1241-59.
    Pubmed CrossRef
  24. Cooper MT. Acute Achilles tendon ruptures: does surgery offer superior results (and other confusing issues)? Clin Sports Med 2015;34:595-606.
    Pubmed CrossRef
  25. Leppilahti J, Orava S. Total Achilles tendon rupture. A review. Sports Med 1998;25:79-100.
    Pubmed CrossRef
  26. Bevilacqua NJ. Treatment of the neglected Achilles tendon rupture. Clin Podiatr Med Surg 2012;29:291-9, viii.
    Pubmed CrossRef
  27. Maffulli N. The clinical diagnosis of subcutaneous tear of the Achilles tendon. A prospective study in 174 patients. Am J Sports Med 1998;26:266-70.
    Pubmed CrossRef
  28. Thompson TC. A test for rupture of the tendo Achillis. Acta Orthop Scand 1962;32:461-5.
    Pubmed CrossRef
  29. Chiodo CP, Glazebrook M, Bluman EM, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of Achilles tendon rupture. J Bone Joint Surg Am 2010;92:2466-8.
    Pubmed
  30. Garras DN, Raikin SM, Bhat SB, Taweel N, Karanjia H. MRI is unnecessary for diagnosing acute Achilles tendon ruptures: clinical diagnostic criteria. Clin Orthop Relat Res 2012;470:2268-73.
    Pubmed KoreaMed CrossRef
  31. Rockett MS, Waitches G, Sudakoff G, Brage M. Use of ultrasonography versus magnetic resonance imaging for tendon abnormalities around the ankle. Foot Ankle Int 1998;19:604-12.
    Pubmed CrossRef
  32. Margetić P, Miklić D, Rakić-Ersek V, Doko Z, Lubina ZI, Brkljacić B. Comparison of ultrasonographic and intraoperative findings in Achilles tendon rupture. Coll Antropol 2007;31:279-84.
    Pubmed
  33. Kotnis R, David S, Handley R, Willett K, Ostlere S. Dynamic ultrasound as a selection tool for reducing Achilles tendon reruptures. Am J Sports Med 2006;34:1395-400.
    Pubmed CrossRef
  34. Kauwe M. Acute Achilles tendon rupture: clinical evaluation, conservative management, and early active rehabilitation. Clin Podiatr Med Surg 2017;34:229-43.
    Pubmed CrossRef
  35. Thevendran G, Sarraf KM, Patel NK, Sadri A, Rosenfeld P. The ruptured Achilles tendon: a current overview from biology of rupture to treatment. Musculoskelet Surg 2013;97:9-20.
    Pubmed CrossRef
  36. Möller M, Movin T, Granhed H, Lind K, Faxén E, Karlsson J. Acute rupture of tendon Achillis. A prospective randomised study of comparison between surgical and non-surgical treatment. J Bone Joint Surg Br 2001;83:843-8.
    Pubmed CrossRef
  37. Inglis AE, Scott WN, Sculco TP, Patterson AH. Ruptures of the tendo Achillis. An objective assessment of surgical and non-surgical treatment. J Bone Joint Surg Am 1976;58:990-3.
    Pubmed CrossRef
  38. Kim YJ, Ahn JH, Shin DC. Conservative treatment of Achilles tendon rupture with ultrasonographic follow-up: a case report. J Korean Orthop US Soc 2011;4:88-92.
  39. Cetti R, Christensen SE, Ejsted R, Jensen NM, Jorgensen U. Operative versus nonoperative treatment of Achilles tendon rupture. A prospective randomized study and review of the literature. Am J Sports Med 1993;21:791-9.
    Pubmed CrossRef
  40. Saleh M, Marshall PD, Senior R, MacFarlane A. The Sheffield splint for controlled early mobilisation after rupture of the calcaneal tendon. A prospective, randomised comparison with plaster treatment. J Bone Joint Surg Br 1992;74:206-9.
    Pubmed
  41. Huttunen TT, Kannus P, Rolf C, Felländer-Tsai L, Mattila VM. Acute Achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012. Am J Sports Med 2014;42:241923.
    Pubmed CrossRef
  42. Thermann H, Zwipp H, Tscherne H. Functional treatment concept of acute rupture of the Achilles tendon. 2 years results of a prospective randomized study. Unfallchirurg 1995;98:21-32.
    Pubmed
  43. Wallace RG, Heyes GJ, Michael AL. The non-operative functional management of patients with a rupture of the tendo Achillis leads to low rates of re-rupture. J Bone Joint Surg Br 2011;93:1362-6.
    Pubmed CrossRef
  44. Zhang H, Tang H, He Q, et al. Surgical versus conservative intervention for acute Achilles tendon rupture: a prisma-compliant systematic review of overlapping meta-analyses. Medicine (Baltimore) 2015;94:e1951.
    Pubmed KoreaMed CrossRef
  45. Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical versus nonsurgical treatment of acute Achilles tendon rupture: a meta-analysis of randomized trials. J Bone Joint Surg Am 2012;94:2136-43.
    Pubmed KoreaMed CrossRef
  46. Yang B, Liu Y, Kan S, et al. Outcomes and complications of percutaneous versus open repair of acute Achilles tendon rupture: a meta-analysis. Int J Surg 2017;40:178-86.
    Pubmed CrossRef
  47. McCoy BW, Haddad SL. The strength of Achilles tendon repair:a comparison of three suture techniques in human cadaver tendons. Foot Ankle Int 2010;31:701-5.
    Pubmed CrossRef
  48. Pajala A, Kangas J, Siira P, Ohtonen P, Leppilahti J. Augmented compared with nonaugmented surgical repair of a fresh total Achilles tendon rupture. A prospective randomized study. J Bone Joint Surg Am 2009;91:1092-100.
    Pubmed CrossRef
  49. Ma GW, Griffith TG. Percutaneous repair of acute closed ruptured Achilles tendon: a new technique. Clin Orthop Relat Res 1977;(128):247-55.
    CrossRef
  50. Klein W, Lang DM, Saleh M. The use of the Ma-Griffith technique for percutaneous repair of fresh ruptured tendo Achillis. Chir Organi Mov 1991;76:223-8.
    Pubmed
  51. Khan RJ, Fick D, Keogh A, Crawford J, Brammar T, Parker M. Treatment of acute Achilles tendon ruptures. A meta-analysis of randomized, controlled trials. J Bone Joint Surg Am 2005;87:2202-10.
    Pubmed
  52. Wilkins R, Bisson LJ. Operative versus nonoperative management of acute Achilles tendon ruptures: a quantitative systematic review of randomized controlled trials. Am J Sports Med 2012;40:2154-60.
    Pubmed CrossRef
  53. Webb J, Moorjani N, Radford M. Anatomy of the sural nerve and its relation to the Achilles tendon. Foot Ankle Int 2000;21:475-7.
    Pubmed CrossRef
  54. Webb JM, Bannister GC. Percutaneous repair of the ruptured tendo Achillis. J Bone Joint Surg Br 1999;81:877-80.
    CrossRef
  55. Assal M, Jung M, Stern R, Rippstein P, Delmi M, Hoffmeyer P. Limited open repair of Achilles tendon ruptures: a technique with a new instrument and findings of a prospective multicenter study. J Bone Joint Surg Am 2002;84:161-70.
    Pubmed CrossRef
  56. Davies MS, Solan M. Minimal incision techniques for acute Achilles repair. Foot Ankle Clin 2009;14:685-97.
    Pubmed CrossRef
  57. Brumann M, Baumbach SF, Mutschler W, Polzer H. Accelerated rehabilitation following Achilles tendon repair after acute rupture:development of an evidence-based treatment protocol. Injury 2014;45:1782-90.
    Pubmed CrossRef

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