{"id":20822,"date":"2021-12-25T21:14:55","date_gmt":"2021-12-26T02:14:55","guid":{"rendered":"http:\/\/www.osteomag.ca\/2021\/12\/25\/achilles-tendon-rupture\/"},"modified":"2022-09-23T08:09:32","modified_gmt":"2022-09-23T12:09:32","slug":"ruptured-achilles-tendon","status":"publish","type":"post","link":"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/","title":{"rendered":"Ruptured Achilles tendon"},"content":{"rendered":"\n<p class=\"has-white-color has-vivid-cyan-blue-background-color has-text-color has-background\">An Achilles tendon rupture is a complete or partial tear that occurs when the tendon is stretched beyond its capacity. Jumping, violent pivoting, or sudden acceleration during running, a fall can stretch the tendon and cause a tear.<\/p>\n\n<p>The Achilles tendon is formed by a coalescence of fibres from the gastrocnemius and soleus muscles. This complex crosses the knee and ankle joints, making it more susceptible to injury than muscles that cross a single joint.<\/p>\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/07\/tendon-achille2-1.jpg\" alt=\"\" class=\"wp-image-28081\" width=\"330\" height=\"257\" srcset=\"https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/07\/tendon-achille2-1.jpg 500w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/07\/tendon-achille2-1-80x62.jpg 80w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/07\/tendon-achille2-1-150x117.jpg 150w, https:\/\/osteomag.ca\/wp-content\/uploads\/2022\/07\/tendon-achille2-1-300x233.jpg 300w\" sizes=\"(max-width: 330px) 100vw, 330px\" \/><\/figure><\/div>\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #000000;color:#000000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #000000;color:#000000\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#What_causes_Achilles_tendon_rupture\" >What causes Achilles tendon rupture?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#What_are_the_symptoms_of_Achilles_tendon_rupture\" >What are the symptoms of Achilles tendon rupture?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#Foot_problems_that_increase_the_risk_of_Achilles_tendon_injuries_include\" >Foot problems that increase the risk of Achilles tendon injuries include:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#Risk_factors\" >Risk factors<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#Differential_diagnosis\" >Differential diagnosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#Therapy\" >Therapy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/osteomag.ca\/en\/ruptured-achilles-tendon\/#References\" >References<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"causes\"><span class=\"ez-toc-section\" id=\"What_causes_Achilles_tendon_rupture\"><\/span>What causes Achilles tendon rupture?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\"><li>Older age<\/li><li>Activities or sports that involve running and jumping<\/li><li>Lack of flexibility<\/li><li>Excessive activity (overuse)<\/li><li>Sudden changes in exercise intensity<\/li><li>Poor conditioning<\/li><li>Use of corticosteroids (by mouth or by injection)<\/li><li>Ill-fitting shoes<\/li><li>Jogging or running on hard surfaces<\/li><\/ul><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\"><li>Climb or step of stairs<\/li><li>Previous Achilles tendon injury<\/li><li>Family history<\/li><li>Organic disorder<ul><li>Diabetes<\/li><li>Renal failure<\/li><li>Rheumatoid arthritis<\/li><li>Systemic lupus erythematosus (SLE, lupus)<\/li><li>Gout<\/li><\/ul><\/li><\/ul><\/div>\n<\/div>\n\n<h2 class=\"wp-block-heading\" id=\"symptomes\"><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_Achilles_tendon_rupture\"><\/span>What are the symptoms of Achilles tendon rupture?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Although it is possible to have no signs or symptoms with a ruptured Achilles tendon, most people have:&#13;\n<\/li><li>The feeling of having been kicked in the calf<\/li><li>Pain, possibly severe and swelling near the heel<\/li><li>An inability to bend the foot down or &#8220;push back&#8221; the injured leg when walking&#13;\n<\/li><li>An inability to stand on the toes of the injured leg<\/li><li>A clicking or clicking noise when the injury occurs<\/li><\/ul>\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Foot_problems_that_increase_the_risk_of_Achilles_tendon_injuries_include\"><\/span>Foot problems that increase the risk of Achilles tendon injuries include:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Pied cavus<\/li><li>Insufficient flexibility and strength of the gastroc\u0153lian<\/li><li>limited ability to dorsiflex the ankle<\/li><li>Tibia vara<\/li><li>Varus alignment with functional hyperpronation<\/li><\/ul><\/div><\/div>\n\n<h2 class=\"wp-block-heading\" id=\"facteurs-risques\"><span class=\"ez-toc-section\" id=\"Risk_factors\"><\/span>Risk factors<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li><p>Age. The maximum age of Achilles tendon rupture is 30 to 40 years.<\/p><\/li><li><p>Sex. Achilles tendon rupture is up to five times more likely to occur in men than in women.<\/p><\/li><li><p>Recreational sports. Achilles tendon injuries are more common in sports that involve running, jumping, and sudden starts and stops &#8211; such as football, basketball and tennis.<\/p><\/li><li><p>Steroid injections. Doctors sometimes inject steroids into an ankle joint to reduce pain and inflammation. However, this medication can weaken nearby tendons and has been linked to Achilles tendon ruptures.<\/p><\/li><li><p>Obesity. Being overweight puts more strain on the tendon.<\/p><\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Differential_diagnosis\"><\/span>Differential diagnosis<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Achilles tendonitis<\/li><li>Ankle sprain<\/li><li>Peroneal tendonitis<\/li><li>Tendonitis of the posterior tibia or tendonitis of the flexor of the big toe.<\/li><li>Fracture of the calcaneus or ankle.<\/li><li>Muscle tear of the gastrocnemius muscle.<\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Therapy\"><\/span>Therapy<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Plantar flexion splint<\/li><li>Immediate referral to an orthopedist<\/li><li>Sometimes surgical repair<\/li><\/ul>\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\"><li>J\u00e4rvinen TA, Kannus P, Maffulli N, Khan KM.\u00a0Achillestendon\u00a0disorders: etiology and epidemiology.\u00a0Foot Ankle Clin.\u00a02005 Jun;10(2):255-66.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15922917\">PubMed<\/a>]<\/li><li>Carmont MR.\u00a0Achillestendonrupture: the evaluation and outcome of percutaneous and minimally invasive repair.\u00a0Br J Sports Med.\u00a02018 Oct;52(19):1281-1282.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29936431\">PubMed<\/a>]<\/li><li>Noback PC, Freibott CE, Tantigate D, Jang E, Greisberg JK, Wong T, Vosseller JT. Prevalence of Asymptomatic\u00a0Achilles\u00a0Tendinosis.\u00a0Foot Ankle Int.\u00a02018 Oct;39(10):1205-1209.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29855207\">PubMed<\/a>]<\/li><li>Haapasalo H, Peltoniemi U, Laine HJ, Kannus P, Mattila VM. Treatment of acute\u00a0Achillestendonrupture\u00a0with a standardised protocol.\u00a0Arch Orthop Trauma Surg.\u00a02018 Aug;138(8):1089-1096.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29725765\">PubMed<\/a>]<\/li><li>Yasui Y, Tonogai I, Rosenbaum AJ, Shimozono Y, Kawano H, Kennedy JG. The Risk of\u00a0AchillesTendonRupture\u00a0in the Patients with\u00a0Achilles\u00a0Tendinopathy: Healthcare Database Analysis in the United States.\u00a0Biomed Res Int.\u00a02017;2017:7021862.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5429922\/\">PMC free article<\/a>] [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28540301\">PubMed<\/a>]<\/li><li>Alu\u0161\u00edk \u0160, Paluch Z. [Drug induced\u00a0tendon\u00a0injury].\u00a0Vnitr Lek.\u00a02018 Winter;63(12):967-971.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29334747\">PubMed<\/a>]<\/li><li>Ahmad J, Jones K. The Effect of Obesity on Surgical Treatment of\u00a0AchillesTendon\u00a0Ruptures.\u00a0J Am Acad Orthop Surg.\u00a02017 Nov;25(11):773-779.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28957986\">PubMed<\/a>]<\/li><li>Egger AC, Berkowitz MJ.\u00a0Achillestendon\u00a0injuries.\u00a0Curr Rev Musculoskelet Med.\u00a02017 Mar;10(1):72-80.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5344857\/\">PMC free article<\/a>] [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/28194638\">PubMed<\/a>]<\/li><li>Maffulli N, Via AG, Oliva F. Chronic\u00a0AchillesTendonRupture.\u00a0Open Orthop J.\u00a02017;11:660-669.\u00a0[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5633724\/\">PMC free article<\/a>] [<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29081863\">PubMed<\/a>]<\/li><li>Dams OC, van den Akker-Scheek I, Diercks RL, Wendt KW, Zwerver J, Reininga IHF. Surveying the management of\u00a0Achillestendon\u00a0ruptures in the Netherlands: lack of consensus and need for treatment<\/li><li>Credit in part: Alan G. Shamrock;\u00a0Matthew Varacallo.<\/li><\/ol><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>An Achilles tendon rupture is a complete or partial tear that occurs when the tendon is stretched beyond its capacity. Jumping, violent pivoting, or sudden acceleration while running can stretch the tendon and cause a tear. A tendon injury can also result from a fall.<\/p>\n","protected":false},"author":1,"featured_media":21291,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","iawp_total_views":0,"footnotes":""},"categories":[233],"tags":[],"class_list":{"0":"post-20822","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-feet"},"_links":{"self":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/20822","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/comments?post=20822"}],"version-history":[{"count":0,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/20822\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media\/21291"}],"wp:attachment":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media?parent=20822"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/categories?post=20822"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/tags?post=20822"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}