Difference between revisions of "TRAUMA-ACHILLES TENDON RUPTURE"

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===== [[Summary Article|'''SUMMARY''']] =====
===== [[Summary Article|'''SUMMARY''']] =====
1. Common and can be acute or chronic. Rupture can occur with sudden balistic forces (such as during basketball).  
1. Common and can be acute or chronic. Rupture can occur with sudden balistic forces (such as during basketball).  
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<br/>2. US &amp; MRI show typical changes that correspond to microscopic features of breakdown in the normal collagen orientation, vacuole formation, and microscopic tearing.
<br/>2. US &amp; MRI show typical changes that correspond to microscopic features of breakdown in the normal collagen orientation, vacuole formation, and microscopic tearing.
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Latest revision as of 11:07, 20 March 2023

SUMMARY

1. Common and can be acute or chronic. Rupture can occur with sudden balistic forces (such as during basketball).

2. US & MRI show typical changes that correspond to microscopic features of breakdown in the normal collagen orientation, vacuole formation, and microscopic tearing.

3. Conservative management for partial tears: analgesia, physiotherapy of muscles along the kinetic chain for ankle plantar-flexion.

4. Complete tears: surgical reconstruction followed by immobilization (up to 3 mths) & aggressive rehabilitation.

5. Incidence of a recurrent Achilles tendon rupture is lower after surgical reconstruction.


Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].