The Incidence of Achilles Tendon Ruptures in Edmonton,                Canada

Suchak, Amar A.; Bostick, Geoff P.; Reid, Duncan; Blitz, Sandra; Jomha, Nadr M.

doi:10.1177/107110070502601106

Cited by 206 publications

(172 citation statements)

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“…A variable incidence is reported, depending on the population studied, with 5.5 to 9.9 ruptures per 100,000 people in North America [29] and six to 18 ruptures per 100,000 in reports of European communities [19]. They occur more commonly in men in the third or fourth decade of life and more frequently on the left side [29]. Most ruptures occur during sports activities [18,22,24].…”

Section: Introductionmentioning

confidence: 99%

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Henríquez

Muñóz

Carcuro

et al. 2012

Clinical Orthopaedics &Amp; Related Research

116

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Background Open repair of Achilles tendon rupture has been associated with higher levels of wound complications than those associated with percutaneous repair. However, some studies suggest there are higher rerupture rates and sural nerve injuries with percutaneous repair. Questions/purposesWe compared the two types of repairs in terms of (1) function (muscle strength, ankle ROM, calf and ankle perimeter, single heel rise tests, and work return), (2) cosmesis (length scar, cosmetic appearance), and (3) complications. Patients and Methods We retrospectively reviewed 32 surgically treated patients with Achilles rupture: 17 with percutaneous repair and 15 with open repair. All patients followed a standardized rehabilitation protocol. The minimum followup was 6 months (mean, 18 months; range, 6-48 months).

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Section: Introductionmentioning

confidence: 99%

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Henríquez

Muñóz

Carcuro

et al. 2012

Clinical Orthopaedics &Amp; Related Research

116

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“…The lifetime cumulative incidence of rupture of the Achilles tendon in elite runners ranges from 30% to 52% [14,31]. In a previous study, the injury rate of the Achilles tendon reportedly increased from two in 100,000 individuals in 1986 to 12 in 100,000 individuals in 1994 owing to increased interest in sports [30].…”

Section: Introductionmentioning

confidence: 99%

Tendinosis-like Histologic and Molecular Changes of the Achilles Tendon to Repetitive Stress: A Pilot Study in Rats

Cho

Hwang

Lee

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Tendinopathy (pain and tendon degeneration) is associated with repetitive use and mechanical overload. However, the etiology of tendinopathy remains unclear. Clarification of histologic and molecular changes of tendon to repetitive stress could provide better understanding of Achilles tendon disorders related to repetitive stress. Questions/Purposes We asked whether repetitive stress simulating overuse of the Achilles tendon induced (1) histologic changes in rats similar to tendinosis (increased cellularity of fibrocytes, increased disorganization of collagen fiber, and increased roundness of the nucleus of the fibrocyte), (2) increased collagen Type III occurrence, and (3) increased inducible nitric oxide synthase (iNOS) expression. Methods We used an exercise protocol simulating repetitive, jerky, eccentric contraction of the triceps surae in 15 rats. We conducted the exercise for 2 hours per day, three times per week using the right rear legs only and the left legs as internal controls. We harvested Achilles tendons after either 2, 4, or 6 weeks of exercise, and evaluated changes in tendon thickness, fibrocyte count, collagen fiber arrangement, collagen fiber type, and occurrence of iNOS. Results Exercised Achilles tendons showed increased cellularity of fibrocytes at 4 and 6 weeks of exercise, and disorganized collagen fiber arrangement at 6 weeks of exercise. There was a trend for Type III collagen occurrence being greater in experimental groups. Expression of iNOS increased after 2 and 4 weeks of exercise when compared with that of the controls, but decreased after 6 weeks. Conclusions These observations suggest repetitive, synchronized, passive, and jerky exercise induced by electrical stimulation can lead to the tendinosis-like changes in the Achilles tendons in rats with imbalance between synthesis and degeneration after 4 weeks of exercise. Clinical Relevance This newly designed exercise protocol may be used to design an animal model of Achilles tendon overuse. With this model, therapeutic interventions of tendinopathy could be analyzed by investigation of tendon biology and response in terms of histologic and molecular changes.

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“…De acuerdo con un informe reciente en Finlandia 3 , la incidencia de roturas agudas del tendón de Aquiles aumentó de 8.3/105 en 1987 a 14.8/105 en 1999 y se cree que está en aumento; además se presentan con mayor frecuencia en grupos de hombres y mujeres de 30-39 y 40-49 años de edad 4 , con predominio masculino 5 . De media, las mujeres con rotura del tendón tienden a ser de 2 a 3 años mayores que los hombres (3,4).…”

Section: Introductionunclassified

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

Olivera

2018

Rev. Int. Cienc. Podol.

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Resumen. Introducción: La reparación quirúrgica es un método común para el tratamiento de la ruptura aguda del tendón de Aquiles, ya que, a pesar de presentar un mayor riesgo de complicaciones, ofrece un menor riesgo de rotura recurrente. Sin embargo, análisis recientes basados en el empleo de rehabilitación funcional temprana, han cuestionado esta creencia. El objetivo de este estudio consiste en evaluar la efectividad clínica de ambos tratamientos. Metodología: Se han empleado cuatro bases de datos (Medline, CINAHL, PubMed y Cochrane Library) para la búsqueda de estudios que comparen el tratamiento quirúrgico y el conservador para la ruptura aguda del tendón de Aquiles. La selección de los artículos se realizó en función de los criterios de inclusión y exclusión. Resultados: Los estudios mostraron que el tratamiento quirúrgico presenta una tasa inferior de rotura recurrente (P=0.002) en comparación con el conservador, pero aumenta el riesgo de otras complicaciones (P=0.004). Un análisis de subgrupos reveló una tasa significativamente más alta en relación con la adherencia cicatricial (P<0.00001), la infección superficial (P=0.05) y la perturbación de la sensibilidad (P=0.0003) en el grupo sometido a cirugía. Conclusiones: El tratamiento quirúrgico, en comparación con el conservador, puede reducir eficazmente el riesgo de rotura recurrente, pero incrementa la probabilidad de complicaciones, lo cual suele estar asociado a la cirugía de reparación abierta. No obstante, no hay pruebas suficientes de estudios actuales que apoyen la creencia de que la cirugía puede conducir a una mejor recuperación funcional. Palabras clave: ruptura aguda tendón Aquiles; tratamiento conservador; tratamiento quirúrgico.[en] Surgical versus Conservative Treatment for Acute Achilles Tendon Rupture Abstract. Background: Surgical repair is a common method of treatment of acute Achilles tendon rupture because, despite a higher risk of overall complications,it has been believed to offer a reduced risk of rerupture. However, recent analysis based on using early functional rehabilitation, have challenged this belief. The aim of this study is to evaluate the clinical effectiveness of both treatments. Methods: The search was performed using the following electronic bibliography databases (Medline, CINAHL, PubMed and Cochrane Library) to find studies comparing surgical and conservative treatment for acute Achilles tendon rupture. The selection of items was based on inclusion and exclusion criteria. Results: The studies showed that surgical treatment has a lower rate of rerupture (P=0.002) compared with nonsurgical treatment, but increases the risk of other complications (P=0.004). Subgroup analyses revealed significant differences in relation to scar adhesion (P<0.00001), superficial infection (P=0.05) and sensibility disturbance (P=0.0003) in the group undergoing surgery. Conclusions: Compared with conservative treatment, operative treatment can effectively reduce the risk of rerupture but increase the probability of complications, which is us...

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The Incidence of Achilles Tendon Ruptures in Edmonton, Canada

Abstract: The incidence of Achilles tendon ruptures in this community was comparable to those reported in European communities (range 6 to 37 ruptures per 100,000 people), although a bimodal age distribution of rupture previously reported was not observed in this study.

Cited by 206 publications

References 8 publications

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Is Percutaneous Repair Better Than Open Repair in Acute Achilles Tendon Rupture?

Tendinosis-like Histologic and Molecular Changes of the Achilles Tendon to Repetitive Stress: A Pilot Study in Rats

Tratamiento quirúrgico frente al conservador para la ruptura aguda del tendón de Aquiles

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