Limits...
Achilles tendon rupture following surgical management for tendinopathy: a case report.

Carmont MR, Maffulli N - BMC Musculoskelet Disord (2007)

Bottom Line: Achilles tendinopathy is understood to be a failed healing response.Operative management is utilised following the failure of non-operative methods.We present a case of Achilles tendon rupture, sustained whilst isometrically loading the Achilles tendon during an eccentric loading exercise programme.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Trauma & Orthopaedic Surgery, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST4 6QG, UK. mcarmont@hotmail.com

ABSTRACT

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 previously been performed after conservative management of bilateral Achilles tendinopathy had been unsuccessful.

Show MeSH

Related in: MedlinePlus

Histology of the tendinopathic tendon at repair (Transverse plane, × 20 Magnification). Revealing scanty hypocellular degenerate tendon displaying separation of collagen fibrils (solid arrows) and disorganisation. Small pieces of fibrin (hollow arrow) were also present and there was no inflammation or neovascularisation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC1808454&req=5

Figure 1: Histology of the tendinopathic tendon at repair (Transverse plane, × 20 Magnification). Revealing scanty hypocellular degenerate tendon displaying separation of collagen fibrils (solid arrows) and disorganisation. Small pieces of fibrin (hollow arrow) were also present and there was no inflammation or neovascularisation.

Mentions: On examination the day after this episode, Simmond's [10] and Matles's [11] tests suggested an acute rupture of his Achilles tendon. The leg was placed in a below knee synthetic cast with the ankle in equinus, and the tendon was repaired percutaneously [12]. Complete rupture of the tendon was noted at operation. Histology revealed findings consistent with Achilles tendinopathy although some of these changes may be secondary to initial surgery (Figure 1). Post-operative recovery was uneventful, and the patient recovered his full function.


Achilles tendon rupture following surgical management for tendinopathy: a case report.

Carmont MR, Maffulli N - BMC Musculoskelet Disord (2007)

Histology of the tendinopathic tendon at repair (Transverse plane, × 20 Magnification). Revealing scanty hypocellular degenerate tendon displaying separation of collagen fibrils (solid arrows) and disorganisation. Small pieces of fibrin (hollow arrow) were also present and there was no inflammation or neovascularisation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1808454&req=5

Figure 1: Histology of the tendinopathic tendon at repair (Transverse plane, × 20 Magnification). Revealing scanty hypocellular degenerate tendon displaying separation of collagen fibrils (solid arrows) and disorganisation. Small pieces of fibrin (hollow arrow) were also present and there was no inflammation or neovascularisation.
Mentions: On examination the day after this episode, Simmond's [10] and Matles's [11] tests suggested an acute rupture of his Achilles tendon. The leg was placed in a below knee synthetic cast with the ankle in equinus, and the tendon was repaired percutaneously [12]. Complete rupture of the tendon was noted at operation. Histology revealed findings consistent with Achilles tendinopathy although some of these changes may be secondary to initial surgery (Figure 1). Post-operative recovery was uneventful, and the patient recovered his full function.

Bottom Line: Achilles tendinopathy is understood to be a failed healing response.Operative management is utilised following the failure of non-operative methods.We present a case of Achilles tendon rupture, sustained whilst isometrically loading the Achilles tendon during an eccentric loading exercise programme.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Trauma & Orthopaedic Surgery, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST4 6QG, UK. mcarmont@hotmail.com

ABSTRACT

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 previously been performed after conservative management of bilateral Achilles tendinopathy had been unsuccessful.

Show MeSH
Related in: MedlinePlus