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ACHILLES TENDON RUPTURE

Rheumatology

ACHILLES TENDON RUPTURE

1. Common and can be acute or chronic. Rupture can occurs 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 repeat Achilles tendon rupture is lower after surgical reconstruction.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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