The ultrasonographic appearance of the ruptured Achilles tendon during healing: a longitudinal evaluation of surgical and nonsurgical treatment, with comparisons to MRI appearance

2001 ◽  
Vol 10 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Michael Möller ◽  
Peter Kälebo ◽  
Göran Tidebrant ◽  
Tomas Movin ◽  
Jon Karlsson
Keyword(s):  
Achilles Tendon ◽  
Nonsurgical Treatment ◽  
Longitudinal Evaluation ◽  
Ultrasonographic Appearance

Nonsurgical treatment of a mid-tendon fracture in an extensively mineralized Achilles tendon

2010 ◽  
Vol 21 (6) ◽  
pp. E45-E47
Author(s):  
Joel A. Humphrey ◽  
Ghias Bhattee ◽  
Subramaniyam Soosainathan
Keyword(s):  
Achilles Tendon ◽  
Nonsurgical Treatment

Soleus Atrophy Is Common After the Nonsurgical Treatment of Acute Achilles Tendon Ruptures: A Randomized Clinical Trial Comparing Surgical and Nonsurgical Functional Treatments

2017 ◽  
Vol 45 (6) ◽  
pp. 1395-1404 ◽  
Author(s):  
Juuso Heikkinen ◽  
Iikka Lantto ◽  
Tapio Flinkkila ◽  
Pasi Ohtonen ◽  
Jaakko Niinimaki ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Muscle Strength ◽  
Achilles Tendon ◽  
Study Groups ◽  
Fatty Degeneration ◽  
Calf Muscle ◽  
Nonsurgical Treatment ◽  
Rehabilitation Protocol ◽  
The Mean ◽  
Calf Muscles

Background: It remains controversial whether nonsurgical or surgical treatment provides better calf muscle strength recovery after an acute Achilles tendon rupture (ATR). Recent evidence has suggested that surgery might surpass nonsurgical treatment in restoring strength after an ATR. Purpose: To assess whether magnetic resonance imaging (MRI) findings could explain calf muscle strength deficits and the difference between nonsurgical and surgical treatments in restoring calf muscle strength. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: From 2009 to 2013, 60 patients with acute ATRs were randomized to surgery or nonsurgical treatment with an identical rehabilitation protocol. The primary outcome measure was the volume of calf muscles assessed using MRI at 3 and 18 months. The secondary outcome measures included fatty degeneration of the calf muscles and length of the affected Achilles tendon. Additionally, isokinetic plantarflexion strength was measured in both legs. Results: At 3 months, the study groups showed no differences in muscle volumes or fatty degeneration. However, at 18 months, the mean differences between affected and healthy soleus muscle volumes were 83.2 cm3 (17.7%) after surgery and 115.5 cm3 (24.8%) after nonsurgical treatment (difference between means, 33.1 cm3; 95% CI, 1.3-65.0; P = .042). The study groups were not substantially different in the volumes or fatty degeneration of other muscles. From 3 to 18 months, compensatory hypertrophy was detected in the flexor hallucis longus (FHL) and deep flexors in both groups. In the nonsurgical treatment group, the mean difference between affected and healthy FHL muscle volumes was −9.3 cm3 (12%) and in the surgical treatment group was −8.4 cm3 (10%) ( P ≤ .001). At 18 months, Achilles tendons were, on average, 19 mm longer in patients treated nonsurgically compared with patients treated surgically ( P < .001). At 18 months, surgically treated patients demonstrated 10% to 18% greater strength results ( P = .037). Calf muscle isokinetic strength deficits for the entire range of ankle motion correlated with soleus atrophy (ρ = 0.449-0.611; P < .001). Conclusion: Treating ATRs nonsurgically with a functional rehabilitation protocol resulted in greater soleus muscle atrophy compared with surgical treatment. The mean Achilles tendon length was 19 mm longer after nonsurgical treatment than after the surgical treatment of ATRs. These structural changes partly explained the 10% to 18% greater calf muscle strength observed in patients treated with surgery compared with those treated nonsurgically. Registration: NCT02012803 ( ClinicalTrials.gov identifier).

scholarly journals Nonsurgical treatment and early return to activity leads to improved Achilles tendon fatigue mechanics and functional outcomes during early healing in an animal model

2016 ◽  
Vol 34 (12) ◽  
pp. 2172-2180 ◽  
Author(s):  
Benjamin R. Freedman ◽  
Joshua A. Gordon ◽  
Pankti R. Bhatt ◽  
Adam M. Pardes ◽  
Stephen J. Thomas ◽  
...  
Keyword(s):  
Animal Model ◽  
Achilles Tendon ◽  
Functional Outcomes ◽  
Nonsurgical Treatment ◽  
Early Return ◽  
Early Healing ◽  
Return To Activity

Rehabilitation and Return to Sport After Nonsurgical Treatment of Achilles Tendon Rupture

2020 ◽  
Vol 42 (3) ◽  
pp. 90-99
Author(s):  
Helen M. Binkley ◽  
Dillon Douglass ◽  
Kristi Phillips ◽  
Stephanie L. Wise
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Return To Sport ◽  
Nonsurgical Treatment

scholarly journals Surgical Versus Nonsurgical Treatment of Acute Achilles Tendon Rupture

2012 ◽  
Vol 94 (23) ◽  
pp. 2136-2143 ◽  
Author(s):  
Alexandra Soroceanu ◽  
Feroze Sidhwa ◽  
Shahram Aarabi ◽  
Annette Kaufman ◽  
Mark Glazebrook
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Achilles Tendon Rupture ◽  
Nonsurgical Treatment
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