Achilles Tendon Rupture

Achilles Tendon Rupture: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture). Joint (abrasions/wounds, swelling (tumor), redness (rubor), hyperthermia … Achilles Tendon Rupture: Examination

Achilles Tendon Rupture: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnosis. Sonography (ultrasound examination) of the Achilles tendon: To confirm the tentative diagnosis To verify the indication for conservative therapy. X-ray of the OSG (upper ankle joint) with hindfoot in 2 … Achilles Tendon Rupture: Diagnostic Tests

Achilles Tendon Rupture: Surgical Therapy

The goal of recovery is powerful function in the upper ankle joint (OSG). When properly indicated, conservative therapy (see “Other Therapy” below) can achieve an equally good result as surgical therapy. Surgical therapy Absolute indications Best possible functional recovery from complete rupture. Open rupture (tear) High demand of the patient (preferred in young athletic individuals). … Achilles Tendon Rupture: Surgical Therapy

Achilles Tendon Rupture: Prevention

To prevent Achilles tendon rupture, attention must be paid to reducing individual risk factors. Behavioral risk factors Incorrect footwear Lack of training condition or incorrect training. Sports with sprints and rapid deceleration as in squash, etc. Overexertion Other risk factors Immobilization Poor substrate Medication Anabolic steroids Quinolones/fluoroquinolones/gyrase inhibitors (ciprofloxacin, moxifloxacin, nalidixic acid, norfloxacin, lomefloxacin, levofloxacin, … Achilles Tendon Rupture: Prevention

Achilles Tendon Rupture: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Conventional non-surgical therapy methods Conservative therapy: pointed foot position for several weeks for scar healing by approximation of the tendon ends. Full weight-bearing is recommended from day one. Indication: Dehiscence (divergence) of the tendon stumps in neutral position < 10 mm and in … Achilles Tendon Rupture: Therapy

Achilles Tendon Rupture: Medical History

The anamnesis (medical history) represents an important component in the diagnosis of Achilles tendon rupture (Achilles tendon tear). Family history Social history What is your occupation? Are you active in sports? What sports do you practice? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed? How long have these symptoms been … Achilles Tendon Rupture: Medical History

Achilles Tendon Rupture: Complications

The following are the most important diseases or complications that can be caused by an Achilles tendon rupture (Achilles tendon tear): Injuries, poisoning, and other sequelae of external causes (S00-T98). Rerupture (recurrence of a rupture) of the Achilles tendon. Wound healing disorders, unspecified Other consequences Movement restrictions Mostly temporary reduction in strength