Total achilles tendon ruptures: Current trends

• Achilles tendon rupture occurs relatively common (De Jonge, Br J Sports Med 45:1026-1028, 2011). Although it is the thickest and strongest tendon in the human body, it remains susceptible to injury. During the last decades, the incidence of spontaneous ruptures has been rising, which may be due to the increasing keep-fit culture. Ruptures occur most frequently in patients between the age of 30 and 50 years old, with a male predominance. Approximately 75 % of Achilles tendon ruptures occur during sports activities, especially racket games, soccer, and handball. Diagnosis is primarily clinical. However, there is still a lack of consensus on the best management of the Achilles tendon rupture. Generally, open surgical management is advocated, although over the past few years, percutaneous techniques are performed more commonly. Nonsurgical management appears to be a good alternative for those with comorbidity or patients who do not wish to have surgery. Recent systematic reviews have concluded that operative management has a lower re-rupture rate but must be balanced by the risks associated with surgery (Khan and Carey Smith, Cochrane Database Syst Rev CD003674, 2010). © Springer-Verlag Berlin Heidelberg 2012, 2015, All Rights Reserved.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)

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