Sports Injuries and Prevention

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Sports Injuries and Prevention

Achilles Tendon

NEWS:

ARTICLES:

JOURNAL ARTICLES:

Achilles tendinopathy in diabetes mellitus. (Foot Ankle Int. 2008) "RESULTS: The ultrasonography revealed disorganized tendon fibers in 62 of 70 (89%) patients, and calcification within the Achilles tendon in 53 (76%) patients. The Achilles tendon thickness averaged 5.0 (range, 4 to 8) mm. There was no correlation between patient age and Achilles tendon thickness (r = 0.292, p = 0.014); however, there was a trend for duration of disease and Achilles tendon disorganization (p = 0.073). The oldest patients also appeared to demonstrate a trend for more ultrasound-measured Achilles tendinopathy. There was no correlation between fasting glucose or glycosylated hemoglobin and Achilles tendon alterations. CONCLUSION: This investigation confirms structural abnormalities within the Achilles tendon of diabetic individuals that might represent biologic changes affecting the inherent stiffness that leads to increased forefoot pressure and the development of plantar forefoot ulcers. This process appears to worsen with advanced age and does not appear to be related to diabetes control."

[Fluoroquinolone-induced Achilles tendon rupture] (Dtsch Med Wochenschr. 2008)

Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. (Br J Sports Med. 2007 )

Intrinsic risk factors for the development of achilles tendon overuse injury: a prospective study. (Am J Sports Med. 2006)

Sonography of chronic Achilles tendinopathy: a case-control study. (J Clin Ultrasound. 2008 )

TREATMENT:

A new surgical method to treat chronic ruptures and reruptures of the Achilles tendon. (Knee Surg Sports Traumatol Arthrosc. 2008)

Achilles Tendon Surgery Advances Speed Recovery

Acute Achilles Tendon Rupture: Minimally Invasive Surgery Versus Nonoperative Treatment With Immediate Full Weightbearing--A Randomized Controlled Trial. (Am J Sports Med. 2008)

Early motion for Achilles tendon ruptures: is surgery important? A randomized, prospective study. (Am J Sports Med. 2007) "CONCLUSION: This study supports early motion as an acceptable form of rehabilitation in both surgically and nonsurgically treated patients with comparable functional results and a low rerupture rate. There appears to be no difference between the 2 groups, suggesting that controlled early motion is the important part of treatment of ruptured Achilles tendon."

High-dose vitamin C supplementation accelerates the Achilles tendon healing in healthy rats. (Arch Orthop Trauma Surg. 2008) "CONCLUSION: High-dose vitamin C supplementation once for every 2 days has stimulating effects on the Achilles tendon healing because of early angiogenesis and increased collagen synthesis in a healthy rat model. Further studies are needed to make clear the mentioned encouraging effects of the vitamin C on the Achilles tendon healing."

Less invasive Achilles tendon reconstruction. (BMC Musculoskelet Disord. 2007 ) “Acute Achilles tendons ruptures may be managed either operatively or non-operatively. However, generally 6 weeks following a rupture a direct repair opposing the tendon ends becomes increasingly difficult. Over time, scar tissue forms, the muscles atrophy with disuse, and the tendon ends weaken. Chronic and neglected Achilles tendon ruptures are debilitating: their optimal management is surgical [1]. Operative procedures for reconstruction of the Achilles tendon include flap tissue turn down using one [2-4] and two flaps [5], local tendon transfer [6-9], and autologous hamstring tendon harvesting [10]. All of these techniques use a single longitudinal incision for exposure. Following these procedures, complications, especially wound breakdown and infection (9%), are not infrequent, are probably related to the paucity of the soft tissue vascularity, and may require plastic surgical procedures to cover significant soft tissue defects [11-14].”

Management of chronic ruptures of the Achilles tendon. (J Bone Joint Surg Am. 2008)

Mini-invasive surgical repair of the Achilles tendon-does it reduce post-operative morbidity? (Int Orthop. 2008)

Operative treatment of acute Achilles tendon rupture: Open end-to-end-reconstruction versus reconstruction with Mitek-anchors. (Acta Chir Belg. 2008)

Optimizing Achilles tendon repair: effect of epitendinous suture augmentation on the strength of achilles tendon repairs. (Foot Ankle Int. 2008 )

Shockwave therapy for chronic Achilles tendinopathy: a double-blind, randomized clinical trial of efficacy. (Acta Orthop. 2008)

Surgery for an Achilles tendon rupture

The effect of dehydration and irrigation on the healing of Achilles tendon: an experimental study. (Ulus Travma Acil Cerrahi Derg. 2008)

What Is the Best Way to Treat and Rehabilitate a Ruptured Achilles Tendon?

Wound complications from surgeries pertaining to the Achilles tendon: an analysis of 219 surgeries. (J Am Podiatr Med Assoc. 2008)