INTRODUCTION Risk of tendon rupture, especially of the Achilles tendon, is one of the many potential side-effects of fluoroquinolone therapy. Achilles tendon rupture may be painful, debilitating or, as seen in our patient, devastating. While fluoroquinolone-induced tendon rupture typically accompanies other comorbidities (for example renal impairment) or concurrent steroid therapy, our case rep...

Objective  The purpose of the study is to evaluate the clinical results and return to sports in patients undergoing reconstruction of the Achilles tendon after minimally invasive reconstruction with semitendinosus tendon graft transfer. Methods  Eight patients underwent surgical reconstruction with a minimally invasive technique and tendon graft augmentation with ipsilateral semitendinosus tend...

We report two cases of tendon rupture associated with ciprofloxacin. One patient had a complete rupture of an Achilles tendon 6 months after taking the medication. The other case involved a partial rupture of the subscapularis tendon. Both ruptures occurred with minimal mechanical stress on the tendons, suggesting that the fluoroquinolone increased the susceptibility to rupture. We also review ...

The causes for the painful heel around the Achilles tendon are Achilles tendinitis and retrocalcaneal bursitis. The treatment modalities range from simple NSAID’s, hot water fomentation, ultrasound phonopheresis, and intralesional steroids to surgery. There is a debate on giving intralesional steroids in and around the Achilles tendon. Most common complication of intralesional corticosteroids i...

BACKGROUND Achilles tendinopathy is understood to be a failed healing response. Operative management is utilised following the failure of non-operative methods. CASE PRESENTATION We present a case of Achilles tendon rupture, sustained whilst isometrically loading the Achilles tendon during an eccentric loading exercise programme. CONCLUSION Bilateral surgical exploration and debridement had...

BACKGROUND The Achilles tendon Total Rupture Score was developed by a research group in 2007 in response to the need for a patient reported outcome measure for this patient population. Beyond this original development paper, no further validation studies have been published.Consequently the purpose of this study was to evaluate internal consistency, convergent validity and responsiveness of thi...

INTRODUCTION The Achilles tendon is one of the largest and strongest in the body, yet is most prone to unilateral spontaneous rupture in humans. This injury dramatically changes the tissue’s composition, which has a significant effect on its mechanical behavior [1] and presumably on ankle joint function. Earlier work has considered this particular relationship between the mechanical status and ...

BACKGROUND Recent investigation of human tissue and cells from positional tendons such as the rotator cuff has clarified the importance of inflammation in the development and progression of tendon disease. These mechanisms remain poorly understood in disease of energy-storing tendons such as the Achilles. Using tissue biopsies from patients, we investigated if inflammation is a feature of Achil...

  Background: Wound complications following open repair for acute Achilles tendon ruptures (AATR) remain the subject of significant debate. The aim of this study is to investigate the effects of covering repaired AATR using well-nourished connective tissues (paratenon and deep fascia) to avoid complications after open repair.   Methods: In this case series study, open repair was performed for 3...