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Achilles Tendon Rupture diagnosis, Treatment

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■ Tendo Achilles Rupture Mechanism➣ Sudden contraction also cause Achilles Tendon Rupture, Achilles Tendinitis
➣ Susceptible tendo Achilles are weakened by degenerative disease such as obesity, diabetes, hypertension, and the effects of corticosteroids, all of which lead to vascular compromise

Achilles Tendinitis

Achilles Tendon Rupture

■ Acute rupture: complaints ➣ Stabbing pain in posterior calf
➣ Pts often complain that they were “kicked” in calf
➣ Pain, swelling, decreased or absent push-off

■ Chronic rupture: complaints ➣ Difficulty walking, inability to run, chronic weakness, altered gait, pain and swelling

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Joint Dislocation/subluxation,Complications in joint Dislocation/subluxation

Achilles Tendon Rupture – Physical exam

■ Acute

➣ Palpable defect in posterior calf in area of Achilles tendon

➣ With ecchymosis and swelling
➣ Thompson test

■ Chronic
➣ ± palpable defect of posterior calf
➣ Weakness in pure plantarflexion of foot

■ Classification
➣ Acute ruptures
■ Diagnosis within 0–4 weeks of injury
➣ Chronic ruptures
■ Diagnosis 1–3 months after injury

■ Radiographs
➣ AP, lateral, mortise views (lateral most important)
➣ Radiographs generally normal
➣ Calcifications, traction spurs – Degenerative changes, degenerative changes or partial tear (indicative of longstanding disease
of the tendon)

➣ Generally not necessary for diagnosis of acute ruptures
➣ May be useful in cases of suspected chronic ruptures
➣ Useful in differential diagnosis■
■ Partial tendon tear
■ Localization of tear
■ Gastro soleus tear
■ Plantaris tear

Differential diagnosis
■ Achilles tendinosis
■ Partial tear
■ Avulsion
■ Ankle sprain
■ Isolated plantaris tear
■ Gastro soleus muscle tear

Achilles Tendon Rupture- Treatment
Achilles Tendon Rupture- Treatment

Achilles Tendon Rupture- Treatment

■ Acute
➣ Nonoperative for acute ruptures
■ Cast or brace immobilization (non weight-bearing, 6–8 weeks)
➣ Operative for acute ruptures
■ Open vs. percutaneous repair (Ma procedure)
■ Ma (lower incidence of wound problems)  Lower rate of re rupture with direct repair

■ Chronic
➣ Nonoperative for chronic ruptures
■ AFO or similar bracing (palliative care)
➣ Operative for chronic ruptures
■ Achilles reconstruction using graft (salvage procedure)
■ Flexor hallucis longus

■ Fascial graft

■ Peroneus brevis

➣ Rehabilitation
■ Goals of physical therapy: ROM and strengthening
■ 5–6 months before return to contact sports
■ Role of earlier ROM gaining greater popularity


■ Results of conservative or operative repair generally good (greater
strength with repair)
■ Results of treatment after chronic rupture not as good as with acute

➣ Reconstruction generally does not allow for return to competitive sports
■ Complications
➣ Rerupture (greater with conservative treatment)
Achilles Tendon Rupture Acromioclavicular Separation 5
➣ Equinus (heel cord tightness)
➣ Skin slough, infection, painful scar
caveats and pearls
■ Careful handling of the soft tissue is imperative to avoid wound

Joint Dislocation/subluxation, Complications in joint Dislocation/subluxation

Achilles Tendinitis Mechanism, Differential diagnosis, Treatment – (

Dr .Lalit Choudhary
Hii everyone, I'm Dr Lalit Choudhary PT. Born and brought up in delhi. Practicing as a professional PHYSIOTHERAPIST. As a therapist I love to interact with others and and get myself updated regarding all the social issues which are leading my countrymen to distress themselves. Yes, I agree that Iam a workaholic but my work gives me immense pleasure but there are sometimes when I feel stressed up so to relax myself I travel to new places, meet new people and try to adopt their culture. Most of the time I like to travel hills as it helps me to relax and enjoy our nature beauty. For being a good therapist and to deal with all the difficulties I always prefer to be good listener and have good patience that is what my strength is. I also work as a social worker and the Founder of thesocialphysiofitnessclub and PHYSIO FIT INDIA. In last I just want to say that " I believe that physical therapy is not just a therapy but actually a remedy which not only make you physically fit but also adds happiness, joy and more days to your life." So don't just sit and thought now it's time to stand and work on yourself.

1 thought on “Achilles Tendon Rupture diagnosis, Treatment”

  1. Thanks for sharing the Blog. It is very useful. Keep up the good work.

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