Achilles Tendon Rupture: Test and Diagnosis
Laboratory diagnostics are usually not required. If necessary, perform clinical chemistry tests to diagnose risk factors (eg, hypercholesterolemia).
Laboratory diagnostics are usually not required. If necessary, perform clinical chemistry tests to diagnose risk factors (eg, hypercholesterolemia).
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
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
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
The following symptoms and complaints may indicate an Achilles tendon rupture (Achilles tendon tear): Leading symptoms Dent above the heel palpable (sometimes visible). Feeling of the kick/strike against the tendon. Whip-like crack Toe stand is not possible
Pathogenesis (development of disease) The Achilles tendon (tendo calcaneus) is the end tendon of the three-headed calf muscle (from musculus soleus and musculus gastrocnemius) that attaches to the heel. The Achilles tendon is the strongest tendon in the human body (it can support up to 25 times the body weight for a short time). Achilles … Achilles Tendon Rupture: Causes
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
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
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
Musculoskeletal system and connective tissue (M00-M99). Achillodynia (pain syndrome of the Achilles tendon). Paratenonitis achillea (inflammation of the Achilles tendon and the surrounding sliding tissue). Injuries, poisoning and other consequences of external causes (S00-T98). Bony Achilles tendon avulsion Muscle (fiber) tear
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