Achilles Tendon Injuries

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For an Appointment in Steamboat Springs, Craig or Rock Springs Call 970-879-6663 For an Appointment in Holdrege Call 308-995-3305 www.andreassaurbreymd.com ACHILLES TENDON INJURIES Overview The Achilles tendon is the largest tendon in the body. It connects the two main calf muscles - the gastrocnemius and soleus - to the heel bone (the calcaneus). Common injuries of the Achilles tendon Gastrocnemius Swelling include tendonitis (inflammation), tendinosis (degeneration), and rupture. muscle Tendinitis Achilles tendinitis most often results from overuse during work or athletic activities. The sheath surrounding the tendon (the paratenon) may become swollen. Symptoms include a burning pain Scar and tenderness during or after activity. The Microtears tissue condition may become chronic without treatment and rest. Tendinosis Tendinosis also comes from overuse, but unlike tendonitis, it is chronic and degenerative. Continuous stress produces microtears and a breakdown of the collagen tissue within the Achilles tendon. The condition is often painful and may reduce tendon strength and mobility. Rupture (tear) An Achilles tendon may rupture because of overuse or an injury such as a direct blow to the lower leg or Soleus ankle. Most commonly, it tears when the calf is muscle contracting while an external force is stretching it. Symptoms include severe pain and a popping sound at the time of injury, followed by swelling and Achilles the inability to stand or point the toes. tendon Treatment For tendinitis and tendinosis, treatment includes rest, ice, over-the-counter pain relievers and physical therapy. Heel lifts, which elevate the heel and diminish stress on the Achilles tendon, are Heel bone often very helpful. Occasionally immobilization in a (calcaneus) walking boot or cast is recommended. Ruptures are treated either with surgery, a cast or both. Tear www.viewmedica.com © 2005 Swarm Interactive. Unauthorized duplication is strictly forbidden..

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Physio Med Self Help for Achilles Tendinopathy
Physio Med Self Help 0113 229 1300 for Achilles Tendinopathy Achilles tendon injuries are common, often evident in middle aged runners to non-sporting individuals. They are often characterised by pain in the tendon, usually at the beginning and end of exercise, pain and stiffness first thing in the morning or after sitting for long periods. There is much that can be done to both speed up the healing and prevent re-occurrence. Anatomy of the Area The muscles of your calf (the gastrocnemius and soleus) are the muscles which create the force needed to push your foot off the floor when walking, running and jumping, or stand up on your toes. The Achilles tendon is the fibrous band that connects these muscles to your heel. You may recognise the term ‘Achilles Tendonitis’ which was the previous name used for Achilles Tendinopathy. However the name has changed as it is no longer thought to be a totally inflammatory condition, but rather an overuse injury causing pain, some localised inflammation and degeneration of the thick Achilles tendon at the back of the ankle. Potential causes of Achilles Tendinopathy and advice on how to prevent it • Poor footwear or sudden change in training surface e.g. sand makes the calf work harder » Wear suitable shoes for the activity (type, fit and condition of footwear). » Take account of the surface you are exercising on and if soft and unstructured like sand or loose soil reduce the intensity / duration or take a short break or reduce any load you are carrying into smaller loads until you become conditioned to it.
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Achilles Tendon Injuries EXPERT CONSULTANT: Michael S
SPORTS TIP Achilles Tendon Injuries EXPERT CONSULTANT: Michael S. George, MD The Achilles tendon is one of the largest, can mask symptoms and lead to greater While partial tears are typically treated thickest, strongest tendons in the human injury as the athlete tries to play through non-operatively, complete Achilles body. It connects the calf muscles to the the pain. tears may be treated both with surgical heel bone, and allows the heel to push off repair and without surgery. While most the ground during movement. Problems Achilles Tendon Ruptures competitive athletes typically undergo affecting the Achilles tendon vary from The Achilles tendon is one of the most surgical repair of the torn Achilles, some mild inflammation and tendinopathy, commonly ruptured tendons in the human recent research studies have shown to partial tears, to complete ruptures. body. The tendon can rupture as the that outcomes may be similar in the athlete is coming down from a jump, general population between tears treated Achilles Tendinopathy and also during a start-and-stop motion operatively and non-operatively. Therefore, Tendinopathy (otherwise known as of many sports. the decision as to whether surgical or non-surgical treatment is chosen should tendinitis or tendinosis) typically results In cases of a complete rupture, a sudden be made by the patient and the treating from repetitive microtrauma and tendon pop or snap is typically felt in the back physician, and should include careful overuse, such as may occur with sports of the ankle, sometimes “as if someone consideration of such factors as the and exercise, and manifests as tendon kicked the leg,” while running, jumping, patient’s age, activity level, and other degeneration and inflammation of the or quickly changing directions.
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Tibialis Posterior Tendon Transfer Corrects the Foot Drop Component
456 COPYRIGHT Ó 2014 BY THE JOURNAL OF BONE AND JOINT SURGERY,INCORPORATED Tibialis Posterior Tendon Transfer Corrects the Foot DropComponentofCavovarusFootDeformity in Charcot-Marie-Tooth Disease T. Dreher, MD, S.I. Wolf, PhD, D. Heitzmann, MSc, C. Fremd, M.C. Klotz, MD, and W. Wenz, MD Investigation performed at the Division for Paediatric Orthopaedics and Foot Surgery, Department for Orthopaedic and Trauma Surgery, Heidelberg University Clinics, Heidelberg, Germany Background: The foot drop component of cavovarus foot deformity in patients with Charcot-Marie-Tooth disease is commonly treated by tendon transfer to provide substitute foot dorsiflexion or by tenodesis to prevent the foot from dropping. Our goals were to use three-dimensional foot analysis to evaluate the outcome of tibialis posterior tendon transfer to the dorsum of the foot and to investigate whether the transfer works as an active substitution or as a tenodesis. Methods: We prospectively studied fourteen patients with Charcot-Marie-Tooth disease and cavovarus foot deformity in whom twenty-three feet were treated with tibialis posterior tendon transfer to correct the foot drop component as part of a foot deformity correction procedure. Five patients underwent unilateral treatment and nine underwent bilateral treatment; only one foot was analyzed in each of the latter patients. Standardized clinical examinations and three-dimensional gait analysis with a special foot model (Heidelberg Foot Measurement Method) were performed before and at a mean of 28.8 months after surgery. Results: The three-dimensional gait analysis revealed significant increases in tibiotalar and foot-tibia dorsiflexion during the swing phase after surgery. These increases were accompanied by a significant reduction in maximum plantar flexion at the stance-swing transition but without a reduction in active range of motion.
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Reconstruction of Chronic Achilles Tendon Rupture Using the Semitendinosus Tendon : a Case Report
417 CASE REPORT Reconstruction of chronic Achilles tendon rupture using the semitendinosus tendon : a case report Makoto Takeuchi, Naoto Suzue, Tetsuya Matsuura, Kosaku Higashino, Toshinori Sakai, Daisuke Hamada, Tomohiro Goto, Yoichiro Takata, Toshihiko Nishisho, Yuichiro Goda, Ryosuke Sato, Ichiro Tonogai, Kazuaki Mineta, and Koichi Sairyo Department of Orthopedics, the University of Tokushima, Tokushima, Japan Abstract : Achilles tendon rupture is a common trauma requiring surgical management. For chronic Achilles tendon rupture in particular, reconstructive surgery is desirable and several methods have been described. Here we present a case of chronic Achilles tendon rupture reconstructed using the semitendinosus tendon because of the difficulty in pulling down the proximal stump to reach the distal stump and due to an insufficient margin for hooking a suture to the distal stump. Postoperatively, the patient had a fully functional tendon and resumed his normal activities of daily living. Using this surgical technique, we expect favorable outcomes in cases of Achilles tendon rupture. J. Med. Invest. 61 : 417-420, August, 2014 Keywords : Achilles tendon reconstruction, chronic rupture, semitendinosus tendon INTRODUCTION technique over another has not been demonstrated and optimal surgical management of Achilles ten- Achilles tendon rupture represents more than 40% don rupture remains controversial (5). Among the of all tendon ruptures requiring surgical manage- available options, the semitendinosus tendon has ment (1). Although it can be managed conserva- been used for open reconstruction of chronic Achil- tively or operatively, the re-rupture rate of operative les tendon rupture with encouraging results (6). In treatment is typically lower than that of conserva- this report, we describe a case of chronic Achilles tive therapy (2, 3).
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Morphology of the Patellar Tendon and the Contractility Response of the Quadriceps: Symmetry and Gender Analysis
International Journal of Environmental Research and Public Health Article Morphology of the Patellar Tendon and the Contractility Response of the Quadriceps: Symmetry and Gender Analysis Pablo Abián 1 , Fernando Martínez 2, Fernando Jiménez 2 and Javier Abián-Vicén 2,* 1 Faculty of Humanities and Social Sciences, Comillas Pontiﬁcal University, 28049 Madrid, Spain; [email protected] 2 Performance and Sport Rehabilitation Laboratory, Faculty of Sport Sciences, University of Castilla-La Mancha, 45071 Toledo, Spain; [email protected] (F.M.); [email protected] (F.J.) * Correspondence: [email protected]; Tel.: +34-925268800 (ext. 5522) Abstract: The purpose of the study was to describe the differences between the dominant and non- dominant leg regarding contractility response and quadriceps strength and the morphology and stiffness of the patellar tendon (PT) in a group of physically active men and women. Fifty physically active subjects (36 men and 14 women) were evaluated for morphology and stiffness of the PT, contractility response of the rectus femoris of the quadriceps, isometric strength of the quadriceps and hamstrings, and isokinetic strength (concentric and eccentric) at 60◦/s of the knee extensors. The measurements were made on the subject’s dominant and non-dominant leg. The men showed a greater thickness of the PT in both legs compared to the women. Regarding the contractility response, the women recorded a 10.1 ± 16.2% (p = 0.038) greater contraction time (ct) in the dominant versus Citation: Abián, P.; Martínez, F.; the non-dominant leg and the men recorded 11.9% (p = 0.040) higher values in the dominant leg Jiménez, F.; Abián-Vicén, J.
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Achilles Tendon Rupture Treated with Vacoped® Boot
Achilles tendon rupture treated with VACOped® Boot: rehabilitation programme and exercises Information for patients from the Trauma and Orthopaedics (T&O) Team and Therapies Department This sheet is designed to give you an outline of how your rehabilitation will progress as you recover from your Achilles tendon rupture. It is only a guide and can be changed to meet your individual needs. The following time frame is a guide and may change depending on your individual progress. If you are fitted into a VACOped® Boot out of hours, please contact the William Harvey Hospital Fracture Clinic on the number 01233 616235, and provide your name, date of birth, and date of injury. We will make sure you are appropriately followed-up. What is an Achilles tendon rupture and what are the benefits of the VACOped® Boot? An Achilles tendon rupture is a break of the tendon that is at the back of your ankle and connects the calf with the back of your foot. When that tendon breaks, it affects gait and walking. In order to heal the tendon, you need both ends to be brought closer together. For that to happen, you need to have your foot pointing down (equinus position) and to have your movement restricted for the first four weeks. After that, you can start moving gently. Wearing the VACOped® Boot can help this to happen more easily. The treatment with the boot will take about nine to 10 weeks (unless advised otherwise). However, full recovery can take up to a year, so you need to be aware and sensible about your affected leg, follow the advice from the professionals looking after you, and do not push yourself too much, as there is a risk for your Achilles tendon to re-rupture.
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The Achilles Tendon Is a Strong, Fibrous Band That Connects the Calf
40 Allied Drive Dedham, MA 02026 781-251-3535 (office) www.bostonsportsmedicine.com ACHILLES TENDON RUPTURE ANATOMY The Achilles tendon is a strong tendon that connects the calf muscles to the heel. The calf is formed by two muscles: the underlying soleus muscle and the thick outer gastrocnemius muscle. When they contract, they pull on the Achilles tendon causing your foot to point down (plantar flexion)and helping you raise up on your toes. This powerful muscle group helps when you sprint, jump, or climb. With aging and overuse, the Achilles tendon is subject to degeneration within the substance of the tendon. The term degeneration means that wear and tear occurs in the tendon over time and leads to a weakening of the tendon. Degeneration in a tendon usually shows up as a loss of the normal arrangement of the fibers of the tendon. Tendons are made up of strands of a material called collagen (think of a tendon as similar to a nylon rope with the strands of collagen being the nylon strands). Some of the individual strands of the tendon become jumbled due to the degeneration, other fibers break, and the tendon loses strength. The healing process in the tendon can cause the tendon to become thickened as scar tissue tries to repair the tendon. This process can continue to the extent that a nodule forms within the tendon. This condition is called tendinosis. The area of tendinosis in the tendon is weaker than normal tendon and is usually painful. Spontaneous rupture of the Achilles tendon can occur in patients in their third to fifth decade.
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Achilles Tendinopathy
Tyneside Integrated Musculoskeletal Service Information for Patients www.tims.nhs.uk Achilles Tendinopathy Introduction The purpose of this leaflet is to provide you with some general advice about Achilles Tendinopathy, how to manage your pain and some simple exercises. What is Achilles Tendinopathy? Achilles tendinopathy (tendinosis) is a common condition that affects the tendon that connects your calf muscles to the heel bone (calcaneus).The Achilles tendon is the strongest in the body, allowing you to push up the weight of your body onto your tiptoes. It therefore takes a lot of stress as you walk. Sometimes due to increased or abnormal stress to the tendon (i.e. a sudden increase of activity such as running, jumping or standing for longer periods), the tendon can become painful and swelling and stiffness can occur. Certain activities (such as running, jumping) will need to be modified to allow the tendon to settle down and heal. For most people the symptoms of Achilles tendinopathy usually clear within 3-6 months from starting your rehabilitation. What are the symptoms Achilles Tendinopathy? Achilles tendinopathy pain is usually felt above the heel and into the lower portion of your calf. It tends to feel very stiff in the morning which improves after a few minutes walking. The tendon itself can sometimes become swollen and tender to touch. The level of pain itself can vary from soreness after exercising to severe pain that limits exercise entirely. How is this condition diagnosed? Achilles tendinopathy is usually diagnosed by a health professional following assessment. Scans/x-rays are not usually needed.
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