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complete achilles tendon rupture

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https://www.readbyqxmd.com/read/27833972/evaluation-of-normal-and-pathological-achilles-tendon-by-real-time-shear-wave-elastography
#1
Pompiliu HoraŢiu Petrescu, Dragoş Andrei Izvernariu, Cătălina Iancu, Gabriel Ovidiu Dinu, Dan Crişan, Simona Alina Popescu, Roxana Lucia Denisa Şirli, Bogdan Mihai Nistor, Ion Călin RăuŢia, Dorela CodruŢa Lăzureanu, Sorin Dema, Ion Radu Prejbeanu, Ioan Sporea
Tendinopathy covers a range of several tendon conditions, mostly caused by overuse but at least in Achilles tendon pathology, favored by obesity, diabetes, inflammatory and autoimmune conditions. Subclinical tendon pathology is difficult to diagnose, as magnetic resonance imaging (MRI) examinations are sometimes inconclusive and not cost-effective. Elastography is an ultrasound examination method that uses mechanical impulses to produce shear waves in the tissue of interest, then measures the tissue displacement and calculates the shear wave speed or the elastic modulus of the examined tissue...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27738294/sonography-of-the-achilles-tendon-after-complete-rupture-repair-what-the-radiologist-should-know
#2
REVIEW
Salvatore Gitto, Anna Guja Draghi, Chandra Bortolotto, Ferdinando Draghi
This review aims to provide the radiologist with simple and systematic guidelines for evaluation of the Achilles tendon after complete rupture repair. Currently, there is a plethora of nonsurgical and surgical treatments, but sonographic examination has shown no significant differences between them. A systematic analysis of several parameters (morphologic characteristics, structure, color Doppler vascularization, and mobility) should be undertaken. Morphologically, the repaired tendon is larger, wider, or both...
December 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27677637/the-risk-of-achilles-or-biceps-tendon-rupture-in-new-statin-users-a-propensity-score-matched-sequential-cohort-study
#3
Julia Spoendlin, J Bradley Layton, Mallika Mundkur, Christian Meier, Susan S Jick, Christoph R Meier
INTRODUCTION: Case reports and pharmacovigilance data reported cases of tendon ruptures in statin users, but evidence from observational studies is scarce and inconclusive. We aimed to assess the association between new statin use and tendon rupture. METHODS: We performed a propensity score (PS)-matched sequential cohort study, using data from the Clinical Practice Research Datalink. Patients aged ≥45 years with at least one new statin prescription between 1995 and 2014 were PS-matched within 2-year entry blocks to patients without a statin prescription during the block...
September 27, 2016: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/27672015/realtime-achilles-ultrasound-thompson-raut-test-for-the-evaluation-and-diagnosis-of-acute-achilles-tendon-ruptures
#4
Matthew J Griffin, Kirstina Olson, Nathanael Heckmann, Timothy P Charlton
BACKGROUND: Acute complete Achilles tendon ruptures are commonly missed injuries. We propose the Realtime Achilles Ultrasound Thompson (RAUT) test, a Thompson test under ultrasound visualization, to aid in the diagnosis of these injuries. We hypothesized that RAUT testing would provide improved diagnostic characteristics compared with static ultrasound. METHODS: Twenty-two consecutive patients with operatively confirmed acute Achilles tendon ruptures were prospectively evaluated with RAUT testing and static ultrasonography...
September 25, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27621640/surgical-versus-conservative-treatment-following-acute-rupture-of-the-achilles-tendon-is-there-a-pedobarographic-difference
#5
Fatih Karaaslan, Musa Uğur Mermerkaya, Alper Çıraklı, Sinan Karaoğlu, Fuat Duygulu
INTRODUCTION: Controversy remains regarding the optimal treatment method and postoperative rehabilitation of acute Achilles tendon ruptures. In this study, pedobarographic assessments of surgical and conservative treatments were compared. MATERIAL AND METHODS: A prospective assessment was made of 16 patients (eight surgical, eight conservative) and eight healthy controls using a plantar pressure measurement system. Biomechanical gait parameters were obtained using the Footscan dynamic gait analysis system...
2016: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/27588227/acute-bilateral-traumatic-achilles-tendon-rupture-a-rare-presentation
#6
Chirag Kapoor, Maulik Jhaveri, Paresh Golwala, Aditya Merh, Amit Patel
The Achilles tendon is the strongest tendon in the body, which is commonly ruptured in male athletes. Bilateral rupture of the Achilles tendon is a rare condition with very few reported cases in the literature. It poses a challenge in management, and hence, we report a case with traumatic bilateral Achilles tendon rupture in a young male patient and its management. One side was treated conservatively as the rupture was partial and the other side, which had a complete tear, was operated. At nine months follow-up, the patient has had a satisfactory result and is now bearing full weight without any problems...
2016: Curēus
https://www.readbyqxmd.com/read/27555353/knotless-repair-of-achilles-tendon-rupture-in-an-elite-athlete-return-to-competition-in-18%C3%A2-weeks
#7
Paul A Byrne, Graeme P Hopper, William T Wilson, Gordon M Mackay
Rupture of the Achilles tendon is an increasingly common injury, particularly in physically active males, and current evidence favors minimally invasive surgical repair. We describe the case of a 36-year-old male elite bobsled athlete with complete rupture of the Achilles tendon. He was treated with surgical repair of the ruptured tendon using an innovative, minimally invasive procedure based on an internal bracing concept and was able to undergo early mobilization and aggressive physiotherapy rehabilitation...
August 20, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27440564/direct-repair-of-chronic-achilles-tendon-ruptures-using-scar-tissue-located-between-the-tendon-stumps
#8
Toshito Yasuda, Hiroaki Shima, Katsunori Mori, Momoko Kizawa, Masashi Neo
BACKGROUND: Several surgical procedures for chronically ruptured Achilles tendons have been reported. Resection of the interposed scar tissue located between the tendon stumps and reconstruction using normal autologous tissue have been well described. We developed a direct repair procedure that uses scar tissue, which obviates the need to use normal autologous tissue. METHODS: Thirty consecutive patients with Achilles tendon ruptures with a delay in diagnosis of >4 weeks underwent removal of a section of scar and healing tissue with direct primary suture of the ends of the tendon without the use of allograft or autograft...
July 20, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27397037/gastrocnemius-fascia-release-under-local-anaesthesia-as-a-treatment-for-neuropathic-foot-ulcers-in-diabetic-patients-a-short-series
#9
Kobe Van Bael, Geerhardus Van der Tempel, Isabelle Claus, Sabrina Speybrouck, Johan De Coster, Sylvie De Laere, Erik Debing, Dimitri Aerden
BACKGROUND: Diabetic foot ulceration is the leading cause of major amputation in the developed world. Plantar neuropathic ulcers at the forefoot can be managed conservatively with off-loading, but treatment is not invariably successful. Achilles tendon lengthening procedures aim at increasing dorsiflexion and decreasing forefoot pressure but can be associated with complications and require prolonged postoperative immobilization to prevent tendon rupture. We assessed the feasibility and clinical outcome of a comparative minimal invasive procedure: the gastrocnemius fascia release...
August 18, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27338652/comparison-of-semi-invasive-internal-splinting-and-open-suturing-techniques-in-achilles-tendon-rupture-surgery
#10
Hakan Sarman, Umit Sefa Muezzinoglu, Kaya Memisoglu, Adem Aydin, Halil Atmaca, Tuncay Baran, Bahar Odabas Ozgur, Turgay Ozgur, Cengizhan Kantar
The goal of the present study was to evaluate the semi-invasive "internal splinting" (SIIS) method for repair of Achilles tendon rupture relative to open repair with Krakow sutures. Efficacy was evaluated based on the clinical and functional outcomes, postoperative magnetic resonance imaging measurements, isokinetic results, and surgical complication rates. Functional measurements included the Thermann and American Orthopaedic Foot and Ankle Society (AOFAS) ankle scores, bilateral ankle dorsiflexion, and plantar flexion measurements...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27289216/long-term-results-of-mini-open-repair-technique-in-the-treatment-of-acute-achilles-tendon-rupture-a-prospective-study
#11
Ersin Taşatan, Tuluhan Yunus Emre, Demet Tekdöş Demircioğlu, Bahtiyar Demiralp, Vecihi Kırdemir
An ideal surgical treatment of acute Achilles tendon rupture includes restoring the original length of the tendon, minimizing possible adhesions with the surrounding tissues, minimizing the risk of repeat rupture, alleviating wound problems, and providing an acceptable cosmetic outcome. In the mini-open repair technique, unlike the percutaneous repair technique, the quality of the tenodesis can be visualized without disturbing the healing potential of the surrounding tissues, thus minimizing wound problems...
September 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27276808/-part-kessler-technique-with-suture-anchor-in-repair-of-spontaneous-achilles-tendon-rupture
#12
Jie Qi, Liang Duan, Weiwei Li, Wenbo Wei
OBJECTIVE: To summarize the application and experience of repairing spontaneous Achilles tendon rupture by part-Kessler technique with suture anchor. METHODS: Between January 2011 and December 2013, 31 patients with spontaneous Achilles tendon rupture were treated by part-Kessler technique with suture anchor. Of 31 cases, 23 were male and 8 were female, aged 16-53 years (mean, 38 years). The left side was involved in 15 cases and the right side in 16 cases. The causes of injury included sudden heel pain and walking weakness during sports in 22 cases; no surefooted down-stairs, slip, and carrying heavy loads in 9 cases...
February 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27256278/clinical-failure-after-dresden-repair-of-mid-substance-achilles-tendon-rupture-human-cadaveric-testing
#13
Carlos De la Fuente, Gabriel Carreño, Miguel Soto, Hugo Marambio, Hugo Henríquez
PURPOSE: The purpose of this study was to describe the angle of clinical failure during cyclical mobilization exercises in the Achilles tendon of human cadaveric specimens that were repaired using the Dresden technique and FiberWire(®) No. 2. The secondary aim was to identify the secure limit of mobilization, the type of failure, and the type of apposition. METHODS: The lower limbs of eight males (mean age: 60.3 ± 6.3 years) were repaired with the Dresden technique following complete, percutaneous mid-substance Achilles tendon rupture...
June 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27151710/new-technical-procedure-involving-achilles-tendon-rupture-treatment-through-transcutaneous-suture
#14
DănuŢ Nicolae TarniŢă, Daniela TarniŢă, Dan Cristian Grecu, Dan Marian Calafeteanu, Bogdan Căpitănescu
The Achilles tendon is the widest tendon of the human body. Achilles tendon belongs to the extrasynovial tendons group and this allows it a faster recovery, thanks to local hematoma from the peritenon, necessary for the scarification. We concluded that in Achilles tendon rupture treatment it is essential to maintain the tendon covering skin integrity, the peritendinous integrity, to maintain the local hematoma formed during and after tendon rupture, reattaching the ruptured tendon heads and maintain them in this position by suturing them and by relaxing the sural triceps muscle...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27141047/medial-malleolus-fracture-of-the-ankle-combined-with-rupture-of-the-achilles-tendon
#15
Jike Lu, Masumi Maruo Holledge
A 59-year-old man fell off a 60-cm-high step, with his ankle in a twisted position, and sustained a closed fracture of the medial malleolus, with an ipsilateral complete Achilles tendon (TA) rupture. The TA rupture was initially missed but diagnosed by ultrasound examination, 2 weeks post-operatively. The ankle fracture was diagnosed from routine radiographs. Such a combination of injuries has been reported infrequently in the literature, but significant similarities have been described in the mechanism of injury and fracture patterns...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27139231/cross-cultural-adaptation-and-multi-centric-validation-of-the-italian-version-of-the-achilles-tendon-total-rupture-score-atrs
#16
Alberto Vascellari, Pietro Spennacchio, Alberto Combi, Alberto Grassi, Silvio Patella, Salvatore Bisicchia, Gian Luigi Canata, Stefano Zaffagnini
PURPOSE: The purpose of this study was to translate the Achilles tendon Total Rupture Score (ATRS) into Italian and establish its cultural adaptiveness and validity. METHODS: The original version of the ATRS was translated into Italian in accordance with the stages recommended by Guillemin. A web-based survey was developed to test the construct validity of the Italian ATRS. Eighty patients with an average age of 45.5 years (SD 11) were included in the study. The ATRS was completed twice at 5 days intervals for test-retest reliability...
May 2, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27038306/nonsurgical-treatment-and-early-return-to-activity-leads-to-improved-achilles-tendon-fatigue-mechanics-and-functional-outcomes-during-early-healing-in-an-animal-model
#17
B R Freedman, J A Gordon, P B Bhatt, A M Pardes, S J Thomas, J J Sarver, C N Riggin, J J Tucker, A W Williams, R C Zanes, M W Hast, D C Farber, K G Silbernagel, L J Soslowsky
Achilles tendon ruptures are common and devastating injuries; however, an optimized treatment and rehabilitation protocol has yet to be defined. Therefore, the objective of this study was to investigate the effects of surgical repair and return to activity on joint function and Achilles tendon properties after 3-weeks of healing. Sprague Dawley rats (N = 100) received unilateral blunt transection of their Achilles tendon. Animals were then randomized into repaired or non-repaired treatments, and further randomized into groups that returned to activity after 1-week (RTA1) or after 3-weeks (RTA3) of limb casting in plantarflexion...
April 2, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/26951049/a-hyperelastic-fibre-reinforced-continuum-model-of-healing-tendons-with-distributed-collagen-fibre-orientations
#18
M N Bajuri, Hanna Isaksson, Pernilla Eliasson, Mark S Thompson
The healing process of ruptured tendons is problematic due to scar tissue formation and deteriorated material properties, and in some cases, it may take nearly a year to complete. Mechanical loading has been shown to positively influence tendon healing; however, the mechanisms remain unclear. Computational mechanobiology methods employed extensively to model bone healing have achieved high fidelity. This study aimed to investigate whether an established hyperelastic fibre-reinforced continuum model introduced by Gasser, Ogden and Holzapfel (GOH) can be used to capture the mechanical behaviour of the Achilles tendon under loading during discrete timepoints of the healing process and to assess the model's sensitivity to its microstructural parameters...
March 7, 2016: Biomechanics and Modeling in Mechanobiology
https://www.readbyqxmd.com/read/26843543/characterization-and-surgical-management-of-achilles-tendon-sleeve-avulsions
#19
Jeannie Huh, Mark E Easley, James A Nunley
BACKGROUND: An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat because, unlike a midsubstance rupture, insufficient tendon remains on the calcaneus to allow for end-to-end repair, and unlike a tuberosity avulsion fracture, any bony element avulsed with the tendon is inadequate for internal fixation...
June 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26825318/tendon-mineralization-is-progressive-and-associated-with-deterioration-of-tendon-biomechanical-properties-and-requires-bmp-smad-signaling-in-the-mouse-achilles-tendon-injury-model
#20
Kairui Zhang, Shuji Asai, Michael W Hast, Min Liu, Yu Usami, Masahiro Iwamoto, Louis J Soslowsky, Motomi Enomoto-Iwamoto
Ectopic tendon mineralization can develop following tendon rupture or trauma surgery. The pathogenesis of ectopic tendon mineralization and its clinical impact have not been fully elucidated yet. In this study, we utilized a mouse Achilles tendon injury model to determine whether ectopic tendon mineralization alters the biomechanical properties of the tendon and whether BMP signaling is involved in this condition. A complete transverse incision was made at the midpoint of the right Achilles tendon in 8-week-old CD1 mice and the gap was left open...
May 2016: Matrix Biology: Journal of the International Society for Matrix Biology
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