J Korean Orthop Assoc.  1975 Mar;10(1):91-100. 10.4055/jkoa.1975.10.1.91.

Clinical Study for Achilles Tendon Rupture

Affiliations
  • 1Department of Orthopedic Surgery, Teagu Presbyterian Hospital, Korea.

Abstract

Rupture of Achilles tendon may result from various cases (direct and indirect injury), especially by trauma. It was first reported by Pare (1575) and thereafter the various cases, diagnostic & therapeutic methods of the rupture tendon have been described by many workers. Almost all the workers agreed that the prognosis was good by early diagnosis and early treatment. in this report, 31 cases (19 In male & 12 in female) of injured Achilles tendon had been treated and follow-up study of 22 cases had been made during 13 years from Aug. 1960 to June 1973. The results are summarized as follows: 1. Rupture of the Achilles tendon occurred most commonly in men of the early 3rd decade (61%). 2. Rupture by direct injury was common than by indirect injury. 3. Rupture of the left side was more common than that of the right side. 4. The most frequent site of rupture was 2-6 cm above the the insertion of the tendon (80%). 5. The result of end-to-end repair and Lynn method within 10 days of injury and of reconstructive surgery after more than 10 days were good or satisfactory. 6. The results by conservative treative treatment with cast immobilization were satisfactory (4 cases) 7. The normal function of Achilles tendon can be regained abgnt 5 months after treatment.


MeSH Terms

Achilles Tendon*
Clinical Study*
Early Diagnosis
Follow-Up Studies
Humans
Immobilization
Male
Methods
Prognosis
Rupture*
Tendons

Figure

  • 㽔㘼 1. Thompson test 䞤㻤 Achilles 厌 ⳴㨌㴤 Cfla 刄㣟㢼 㪫㏗⪨䖌 㞏匀㟸㢨 㟼劌匟㢌 䯨㙀 㪶 䵬䴜.

  • 㽔㘼 2. Toygar's sign 㣄䞤㻤 Achilles 厌 ⳴㨌㴤 厌㢨 ⪘䓄㢼 䌌㨔㜀䴜.

  • 㽔㘼 3. Achilles厌 ⳴㨌䪴 ⳴㨌⧫⼤䚄 䌌㨔㜄䵬 㷨㷠 䴇㴤㢨 㹴㟈.

  • 㽔㘼 4. Achilles厌 ⳴㨌䪴 䌌㨔 㜄䵬 㷨㷠 䴇㴤㢨 㹴 協㣄䞤 Plantaris 厌㢌 䆼⤼⪌㟈 㡸䴜.

  • 㽔㘼 5. Lynn㫘 䏗䍫㣄䞤匄㨌厌㢼䌋劔⪠䪴 Plantaris·

  • 㽔㘼 6. Lynn㫘 䏗䍫㣄䞤 ⳴㨌䯤 厌㢼 Plantaris䞤 䮨 䠔 㴄 䕘㩯.

  • 㽔㘼 7. 䌌㞌㟿 ㆨ䜴 䏗䍫㣄䞤 ㆨ㣠䯤 厌 ⳴㨌㧸䞤㻤 4古㤬⤼ tip toe Standing 匄 厌㢨 䆼⤼㼿⼤䚄 䌌㨔㜄匠 㡸䴜.


Reference

1.Amer O.., Lindholm A.Subcutaneous Rupture of the Achilles Tendon, A study of Cases, Acta Chir. Scandinav. Supplement. 239:7–51. 1959.
2.Arner O.., Lindholm A.., Lindvall N.Roentgen Changes in Subcutaneous Rupture of the Achilles Te?idon, Acsa Chir. Scandinav. 116:496–500. 1959.
3.Arner O.., Lindholm A.., Orell S.Histologic Changes in Subcutaneous Rupture of the Achilles Tendon, Acta Chir. Scandinav. 116-484:1959.
4.Blümel & Piza. Quoted by Arner, O., and Lindholm, A.: Subcutaneous Rupture of the Achilles tendon, A study of 92 cases, Acta Chir. Scandinav. 239:7–51. 1959.
5.Bëehler L.Rupture of the Achilles Tendon. The Treatment of Fracture 5th. Ed-1887, Grume and Straffon, New York and London. 1958.
6.Bosworth D. M.Repair of Defects in the Tendo-Achi11es,. J.B.J.S. 38-A:111–112. 1956.
7.Bugg E. I.., Boyd B. M.Repair of neglected rupture or laceration of the Achilles tendon, Clinical Orth, and related Research. 56:73–75. 1968.
8.Christensen I.Rupture of the Achilles Tendon, Analysis of 57 cases, Acta Chir Scandinav. 106(50):1953–1954.
9.Conway A. M.., Dorner R. W.., Zuckner J.Regeneration of Resected Calcaneal Tendon of the Rabbit, Anat. Ree. 158:43–49. 1967.
10.Crenshaw A. H.Campbell's Op. Orth., 1464. The C. V. Mosby Comp. Saint Louis. 1971.
11.Forste R. L.., Ritter M. A.Rerupture of a Conservatively Treated Achilles Tendon Rupture, A case report of the operative findings. J. J. B. J. S. 56-A:174–175. 1974.
12.Gilles H.., Chalmers J.The Management of Fresh Rupture of the Tendo Achilles,. J. B. J. S. 52-A:337. 1970.
13.Gillespie H. S.., George E. A.Results of surgical repair of Spontaneous Rupture of the Achilles tendon,. J. Trauma. 9:247–249. 1969.
Article
14.Goldman S.., Linscheid R. L.., Bickel W. H.Disruption of the Tendo-Achill es. Mayo Clinic proc. 44:28–35. 1969.
15.Hooker C. H.Rupture of Tendo-Calcaneus,. J.B.J.S. 45-B:360–363. 1963.
16.Kager H.Quoted by Arner, O., Lindholm, A., and Lindvall, N.: Roentgen changes in subcutaneous rupture of the Achilles Tendon, Acta Chir. Scandinav. 116:496. 1959.
17.Käufer H.Discussion on Repair of the Ruptured Achilles tendon by E. L. Ralston and E. R. Schidt. Jr. J. J. Trauma. 11:20–21. 1971.
18.Kullmann L.., Wouters H. W.Muscle Hemanangiosndo thelioma causing Rupture of the Achilles Tendon, Clin. Orth, and related Research. 84:154. 1972.
19.Lagergen C.., Lindholm A.Vascular distribution in the Achilles tendon, Acta Chir. Scandinav. 116:491–495. 1959.
20.Lavine L.S.., Kanras S.., Warren R.F.Too pin technic, for Achilles tendon repair, Clin. Orth, and related Research. 40:137–138. 1965.
21.Lawrence G. H.., Cave E. F.., O'Conner H.Injury to the Achilles tendon, Experience at the Masschusetts General Hospital, 1900-1954. Am. J. Surg. 89:795–800. 1955.
22.Lea R. B.., Smith L.Non Surgical Treatment of Tendo Achilles Rupture,. J. B. J. S. 54-A:1398–1320. 1972.
23.Lindholm A.A new method of operation in subcutaneous rupture of the Achilles tendon, Acta Chir. Scandinav. 117:261–270. 1959.
24.Lipscomb P.R.., Wakim K.G.Regeneration of Severed Tendons, An Experimental study. Proc. Staff Meet. Mayo Clin. 36:271–276. 1961.
25.Lipscomb P. R.., Wakim K.G.Furthure observations in the Healing of Severed Tendons, An Experimental Study. Proc. Staff Meet Mayo Clinic. 36:277–282. 1962.
26.Ljungquist H.Subcutaneous Partial Rupture of the Achilles Tendon, Acta Orth. Scandinav. Supp., 113. 1958.
27.Lynn T. A.Repair of the Torn Achilles Tendon, using the Plantalis Tendon as a Reinforcing Membrane,. J.B.J.S. 48-A:268–272. 1966.
28.Melmed E. P.Spontneous Bilateral rupture of the calcaneal tendon during Steroid therapy,. J.B.J.S. 50-A:1069. 1968.
29.Oden R. R.., Swearingen R.Tendo Calcaneous rupture in sking. J.B.J.S. 50-A:1067. 1968.
30.Reveno P. M.., Kittleson A. C.Spontaneous Achilles Tendo Rupture. Radiology. 93:1341–1344. 1969.
31.Snorf C. R.., Stein J. L.Repair of Tendo Calcaneous Rupture,. J. B. J. S. 47-A:852. 1965.
32.Thompson T. C.A test for rupture of the Tendo Achilles, Acta Orth. Scandinav. 32:461–463. 1962.
33.Toygar 0.Quoted by Lindholm, A.: A new method of operation in subcutneous rupture of the Achilles tendon, Acta Chir. Scandina. 117:261. 1959.
34.White R. K.., Kraynick B. M.Surgical uses of the Peroneous Brevis Tendon Surg. Gynec. Obstet. 108:117–121. 1959.
35.정인희» 김광희. AChilles tendon rupture 임상적고찰. 대한정형외과지, 제7권제J호273-288. 1972. ,.
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