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Achilles Tendon Rupture Updated 4/2010

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BASICS

  • Description
  • General Prevention
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Initial Stabilization
  • General Measures
  • Special Therapy
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
  • Patient Monitoring
The following is an excerpt....
BASICS
Description
  • The Achilles tendon is the strongest tendon in the body and is subject to loads of 5–7 times body weight.
  • Definition: Tendon disruption in its watershed region
  • Anatomy (1):
    • The terminal segment of the medial and lateral gastrocnemius and the soleus muscles
    • Is ∼15 cm long and inserts on the posterior calcaneal tuberosity
    • Is surrounded by a paratenon, which allows it to glide freely
    • Is composed mainly of type 1 collagen
    • The blood supply to the tendon is poorest in a watershed region from 2–6 cm proximal to the tendon’s insertion on the calcaneus.
    • The tendon rotates 90° as it courses distally, concentrating mechanical stress in the watershed area.
  • Classification:
    • Acute versus chronic
    • Open versus ...

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See Also
Images >
12
Fig. 1. The area of tenderness in Achilles tendinitis is above the heel, over a broad area.