Exposed tendons after burn injury create a surgical challenge for the treating physician. This is particularly true with regard to the exposed Achilles tendon. This case report reviews the nature of this challenge and traditional solutions, and describes the use of negative pressure wound therapy to facilitate coverage of the Achilles tendon. This therapy may provide a more appropriate therapeu...

OBJECTIVE To investigate the acute effects of isolated eccentric and concentric calf muscle exercise on Achilles tendon sagittal thickness. DESIGN Within-subject, counterbalanced, mixed design. SETTING Institutional. PARTICIPANTS 11 healthy, recreationally active male adults. INTERVENTIONS Participants performed an exercise protocol, which involved isolated eccentric loading of the Achi...

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...

OBJECTIVES To quantify the intratendinous levels of substance P (SP) at different stages of overload in an established model for Achilles tendinopathy (rabbit). Also, to study the distribution of the SP-receptor, the NK-1R, and the source of SP, in the tendon. METHODS Animals were subjected to the overuse protocol for 1, 3 or 6 weeks. One additional group served as unexercised controls. Immun...

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 ...

Spontaneous bilateral rupture of Achilles tendon is rare. Rupture of the Achilles tendon has been described in patients on oral corticosteroid therapy. The sudden dorsiflexion of the plantar-flexed foot is the usual mechanism of injury. Spontaneous bilateral rupture is common in the degenerated tendon, which is often seen in patients with long-term corticosteroid therapy. This case is unusual b...

INTRODUCTION The distal triceps tendon rupture is an uncommon injury. The acute treatment is well-defined, but when a delayed diagnosis is made or when a tendon retraction is present the alternatives or reconstruction are limited and sometimes complex. CASE PRESENTATION In this case, we report on a 28-year-old man who presented with a chronic disruption of the distal triceps tendon with a gap...

PURPOSE To retrospectively review the clinical outcome and incidence of post-operative complications after open end-to-end repair of acute Achilles tendon ruptures. METHODS Seventy consecutive patients (74 open Achilles tendon repairs) operated on between 1989 and 2002 were identified for inclusion in this investigation. The medical records were reviewed and patients were contacted for a foll...

Purpose: This study aims to measure the distance between common site of Achilles tendon rupture and calcaneal insertion through ultrasound compare outcomes proximal distal groups. Methods: We investigated electronic medical records 117 patients preoperative describing site. Among 88 patients, we compared patient-reported outcome re-rupture rate Results: The mean included subjects was 4.5 ± 1.3 ...

BACKGROUND Long-term studies of posterior cruciate ligament (PCL) reconstruction suggest that normal stability is not restored in the majority of patients. The Achilles tendon allograft is frequently utilized, although recently, the quadriceps tendon has been introduced as an alternative option due to its size and high patellar bone density. PURPOSE/HYPOTHESIS The purpose of this study was to...