Achilles tendon tears are the most common ankle tendon injuriesand are most commonly seen secondary to sports-related injury, especially squash and basketball.
There is strong male over-representation presumably as a result of the predominantly sport related aetiology. Patients are typically aged years and have no antecedent history of calf or heel pain. There are however numerous recognised predisposing factors including:. Typically patients present with sudden onset of pain and swelling in the Achilles region, often accompanied by an audible snap during forceful dorsiflexion of the foot.
If complete a defect may be felt and the patient will have only minimal plantar flexion against resistance. The spectrum of tears ranges from microtears to interstitial tears parallel to the long axis benedryl and claritin mix the Achillesto partial tears, and eventually to complete tears.
Tears can be acute or chronic, with repeated minor trauma. At the mildest end of the spectrum all that may be present is peritendonitis, antibiotics and tendon pain. Treatment depends on the extent of the tear. Partial thickness tears can initially be treated conservatively, with surgery reserved for failure of conservative management, on in some cases for high performance athletes.
Full-thickness tears are normally surgically repaired. If the patient is not deemed suitable for surgical repair frail, ill, etc. A true rupture of the Achilles tendon was first described by Ambroise Pare in and first reported in the medical literature in 3.
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