From the ‡Division of Orthopaedic Trauma, *Department of Orthopaedics, Vancouver General Hospital, Vancouver, BC and the †Department of Orthopaedics, North Bristol NHS Trust, Bristol, UK T he Simmonds–Thompson test, described in 1957 and 1962, 1–3 respectively, remains the principal clinical test for rupture of an Achilles tendon. However, there is some discrepancy in the literature regarding i...

BACKGROUND Many techniques have been developed for the reconstruction of the Achilles tendon in chronic tears. In presence of a large gap (greater than 6 centimetres), tendon augmentation is required. METHODS We present our method of minimally invasive semitendinosus reconstruction for the Achilles tendon using one para-midline and one midline incision. RESULTS The first incision is a 5 cm ...

OBJECTIVES The aim of this study was to determine whether ultrasound can correctly visualise partial ruptures of the proximal Achilles tendon. METHOD This was a prospective study in which all chronic Achilles tendon injury patients seen at three centres in Germany from 1998 to 2003 were screened. All patients with clinical and/or sonographic signs of abnormalities in the region of the proxima...

A balance between matrix metalloproteinases (MMPs) and their inhibitors (TIMPs) is required to maintain tendon homeostasis. Variation in this balance over time might impact on the success of tendon healing. This study aimed to analyze structural changes and the expression profile of MMPs and TIMPs in human Achilles tendons at different time-points after rupture. Biopsies from 37 patients with a...

BACKGROUND The Achilles tendon Total Rupture Score (ATRS), which is originally developed in 2007 in Swedish, is the only patient-reported outcome measure (PROM) for specific outcome assessment of an Achilles tendon rupture.Purpose of this study is to translate and cross-culturally adapt Achilles tendon Total Rupture Score (ATRS) into simplified Chinese, and primarily evaluate the responsiveness...

BACKGROUND Comparisons of surgically and nonsurgically treated Achilles tendon ruptures have demonstrated that those treated with surgery allow earlier motion and tend to show superior results. However, early motion enhances tendon healing with or without surgery and may be the important factor in optimizing outcomes in patients with Achilles tendon rupture. HYPOTHESIS There is no difference ...

The experience in treatment of 3 patients with rupture Achilles tendon due to steroid injections connected achillodynia or tendoperiosteopathy calcaneal tuber is presented. There 3.5% such pathology out all rupture. In those the was shown be caused by insignificant physical load (quick walking, slight jump). Postoperatively had complications form diastasis cutaneous wound margins. one patient n...

BACKGROUND When encountering complaints of pain in the area of Achilles tendon with a suspected lesion, the clinician seldom reaches a precise diagnosis based only on X-ray and clinical examination. Ultrasonography is useful for evaluating the pathology and treatment. OBJECTIVES To assess the relative contribution of real-time intraoperative ultrasound examination and immediate postoperative ...

INTRODUCTION Achilles tendon rupture is among the most frequent musculoskeletal injury, with over 1 million cases annualy in the United States alone [1]. Calf stretches and warm-up are routinely used by professional and recreational athletes as an injury prevention measure. Both londitudinal stretch training studies and accute calf stretching have shown to decrease tendon stiffness [2,3], repre...

OBJECTIVE To study the clinical outcomes of minimally invasive repair of ruptured Achilles tendon. DESIGN Retrospective study. SETTING Orthopaedics and Traumatology Department of a public hospital in Hong Kong. PATIENTS Fifteen consecutive patients admitted to the hospital from August 2002 to April 2005 with closed Achilles tendon rupture, had it repaired by a minimally invasive method. P...