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Cureus 2022 May 20;14(5):e25172. Epub 2022 May 20.

Orthopaedic Surgery, Penn State Health Milton S. Hershey Medical Center, State College, USA.

Bilateral simultaneous rupture of distal biceps tendons is an extremely rare clinical entity that can result in significant morbidity for an active person if not addressed appropriately. Treatment becomes more complicated in a delayed presentation as the tendon retracts and scars to the adjacent tissues, thus precluding a primary tendon-to-bone repair. The present study is a case report of an active male with a two-month-old simultaneous rupture of both distal biceps tendons managed by Achilles allograft reconstruction and double cortical-button fixation technique that provided a satisfactory functional outcome. Read More

J Reconstr Microsurg 2022 Jun 23. Epub 2022 Jun 23.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital; Washington, District of Columbia.

Background:  Tendon rupture with extensive soft tissue loss has few reconstructive options. Composite free tissue transfers including skin and tendon offer an attractive reconstructive approach. Unfortunately, most studies discussing them come from sparse case reports. Read More

Orthop Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Orthopedic Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Objective: To reflect the potential epidemiological characteristics of Achilles tendon (AT) rupture in Shanghai, China, which has been rarely reported before.

Methods: This work is a descriptive epidemiology study. A total of 302 cases of AT rupture admitted to our department between 01/2013 and 02/2020 are analyzed according to telephone follow-up and medical records. Read More

J Sports Sci Med 2022 Jun 1;21(2):224-232. Epub 2022 Jun 1.

Human Movement Analysis Laboratory, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre Hospital, Copenhagen, Denmark.

Achilles tendon (AT) rupture is common among recreational male badminton players. We hypothesize that a landing technique following forehand jump strokes with the landing foot in a neutral position often performed by recreational players and occasionally by elite players may expose the AT to higher loads than a scissor kick jump (SKJ) technique with the leg/foot externally rotated. The study aimed to investigate if recreational players could reduce the load in the AT when adopting the SKJ technique compared to their habitual landing technique with the foot in a neutral position and secondarily to compare the AT force between recreational players and elite players. Read More

Clin Podiatr Med Surg 2022 Jul;39(3):405-410

Midwestern University Arizona College of Podiatric Medicine, Paradise Valley Foot & Ankle, 4611 East Shea Boulevard, Phoenix, AZ 85028, USA. Electronic address:

The Achilles tendon is well known as the strongest tendon within the body. Its anatomic composition is unique to allow absorption of extreme loads. Historically, there has been a longstanding belief that rupture of the Achilles tendon occurs within a "watershed" region of ischemia. Read More

Clin Pract Cases Emerg Med 2022 May;6(2):151-154

Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida.

Introduction: Achilles tendon ruptures often occur during physical activity where the tendon is frequently stressed. Although rare, rupture can also result from electric shock.

Case Report: We present the case of a 63-year-old female who presented with pain in the lower leg after enduring an electric shock. Read More

Foot Ankle Spec 2022 Jun 13:19386400221102745. Epub 2022 Jun 13.

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana.

Background: With emerging evidence supporting functional rehabilitation for Achilles tendon ruptures (ATRs), this study sought to evaluate the treatment trends for patients sustaining an acute ATR and whether gender and age may influence the rates of operative repair.

Methods: A retrospective database review identified ATRs from 2010 through 2019. Patients were then stratified into three cohorts based on age (18-30, 30-45, and 46 and older), separated by gender, and then assessed whether patients were treated operatively or not. Read More

Foot Ankle Int 2022 Jun 10:10711007221096674. Epub 2022 Jun 10.

Ankle and Knee Section, Orthopaedics Department, Centro Artroscópico Jorge Batista, Ciudad Autónoma de Buenos Aires, Argentina.

Background: Both percutaneous and endoscopically assisted methods are reported to produce good results in the surgical management of acute Achilles tendon ruptures. The aim of this retrospective study was to compare between a percutaneous method and a recently described isolated endoscopically assisted flexor hallucis longus (FHL) transfer method as surgical means of management in patients with acute Achilles tendon ruptures.

Methods: One hundred seventeen patients were included in the current study and divided into 2 groups: 59 patients who underwent percutaneous Achilles repair (PAR Group) and 58 patients who underwent isolated endoscopic FHL transfer (FHL Group) were compared. Read More

Foot Ankle Clin 2022 Jun 11;27(2):415-430. Epub 2022 May 11.

Georgetown University School of Medicine, Washington, DC, USA.

Acute Achilles tendon ruptures are commonly managed with surgical repair. This particular surgery is prone to rerupture, wound complications, deep vein thrombosis, and sural nerve injuries. In this chapter the authors discuss complications, how to avoid them, and ultimately how to manage complications with your patients. Read More

Phys Sportsmed 2022 Jun 10:1-11. Epub 2022 Jun 10.

Department of Life Sciences, European University of Cyprus, Nicosia, Cyprus.

Objective: Identifying risk factors for Achilles Tendon Rupture (ATR) is one of the first necessary steps for its prevention. This systematic review aimed to update the systematic review published in 2014 in ATR etiology.

Methodology: A systematic review was carried out using PubMed, EBSCO, and ScienceDirect databases. Read More

Bone Jt Open 2022 Jun;3(6):455-462

Warwick Clinical Trials Unit, University of Warwick, Coventry, UK.

Aims: To compare the cost-utility of removable brace compared with cast in the management of adult patients with ankle fracture.

Methods: A within-trial economic evaluation conducted from the UK NHS and personnel social services (PSS) perspective. Health resources and quality-of-life data were collected as part of the Ankle Injury Rehabilitation (AIR) multicentre, randomized controlled trial over a 12-month period using trial case report forms and patient-completed questionnaires. Read More

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):540-545

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou 221009, China.

To investigate the clinical efficacy of arthroscopic treatment of acute closed noninsertional rupture of Achilles tendon. The clinical and imaging data of 30 patients (30 feet) with acute closed noninsertional rupture of Achilles tendon who were treated with all-inside arthroscopic technique at the Department of Hand and Foot Microsurgery,Xuzhou Central Hospital from June 2018 to June 2020 were analyzed retrospectively. There were 26 males and 4 females,aged (38. Read More

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):524-527

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou 221009, China.

In recent years,the application of minimally invasive techniques in the treatment of chronic Achilles tendon rupture has become more and more mature,and it also faces many controversies and challenges.The concept of minimally invasive technique is to minimize the dissection of soft tissue around the Achilles tendon and reduce the occurrence of postoperative wound complications.Minimally invasive small incision surgery does not expose the Achilles tendon stump,and either tendon transposition or tendon transplantation can be achieved using this technique,but there is a risk of accidental injury to the peripheral nerve. Read More

Injury 2022 Jul 24;53(7):2666-2670. Epub 2022 May 24.

Second affiliated hospital of Chongqing medical university, orthopaedics; Chongqing CN 400010, China. Electronic address:

Purpose: The treatment options of acute Achilles tendon rupture (AATR) remain controversial. This article aims to compare the efficacy of a new surgical procedure, the panda rope bridge technique (PRBT) with open surgery of AATR.

Methods: Ninety-eight patients with AATR were recruited, 53 underwent the PBRT, and 45 underwent open surgery. Read More

Sports Health 2022 May 29:19417381221087246. Epub 2022 May 29.

Background: Compared with nonoperative management, Achilles tendon repair is associated with increased rates of complications and increased initial healthcare cost. However, data are currently lacking on the risk factors for these complications and the added healthcare cost associated with common preoperative comorbidities.

Hypothesis: Identify the independent risk factors for complications and reoperation after acute Achilles tendon repair and calculate the added cost of care associated with having each preoperative risk factor. Read More

Healthcare (Basel) 2022 Apr 23;10(5). Epub 2022 Apr 23.

Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw, 00-927 Warsaw, Poland.

This study presents an accurate biexponential weighted stochastic conjugate direction (WSCD) method for the quantitative T2-mapping reconstruction of magnetic resonance images (MRIs), and this approach was compared with the non-negative-least-squares Gauss-Newton (GN) numerical optimization method in terms of accuracy and goodness of fit of the reconstructed images from simulated data and ruptured Achilles tendon (AT) MRIs. Reconstructions with WSCD and GN were obtained from data simulating the signal intensity from biexponential decay and from 58 MR studies of postrupture, surgically repaired ATs. Both methods were assessed in terms of accuracy (closeness of the means of calculated and true simulated T2 values) and goodness of fit (magnitude of mean squared error (MSE)). Read More

Acta Biomed 2022 03 10;92(S3):e2021578. Epub 2022 Mar 10.

Orthopaedics and Traumatology Unit, Cattinara Hospital- Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Strada di Fiume 447, 34149 Trieste (Italy).

Achilles tendon reconstruction with substance loss and infection in the overlying soft tissues is a challenge. There is no standardized treatment in literature for these cases. We describe a one-stage tendon reconstruction, using flexor hallucis longus (FHL) tendon transfer and an anterolateral thigh flap with vascularized fascia lata in a patient with re-rupture of the Achilles tendon, soft tissue infection and a tendon defect of 10 cm in length. Read More

FASEB J 2022 06;36(6):e22365

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Dense connective tissue healing, such as tendon, is protracted leading to highly variable and unsatisfactory patient outcomes. Biomarkers prognostic of long-term clinical outcomes is, however, unknown. The present study was designed to investigate the proteomic profile of healing, identify potential biomarkers, and assess their association with the patient's long-term outcomes after ATR. Read More

Knee Surg Sports Traumatol Arthrosc 2022 May 20. Epub 2022 May 20.

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: To determine the relationships among calf muscle function, tendon length and gait biomechanics in patients surgically treated for chronic Achilles tendon rupture.

Methods: Twenty-one patients with chronic Achilles tendon rupture (mean age 62 ± 13 years) were evaluated by heel-rise endurance test, Achilles Tendon Resting Angle (ATRA), ultrasound measurement of tendon length and three-dimensional gait analysis. A bivariate two-sided correlation test was performed on all variables in all patients. Read More

Cureus 2022 Apr 9;14(4):e23984. Epub 2022 Apr 9.

Orthopedics, Creighton University School of Medicine, Omaha, USA.

Purpose: To evaluate the educational content, quality, and reliability of YouTube videos regarding the Achilles tendon and Achilles tendon injuries.

Methods: The first 50 videos found on YouTube after searching "Achilles tendon" were evaluated and classified by content type and uploader source. Reliability and accuracy were assessed using the Journal of the American Medical Association (JAMA) benchmark criteria, nonspecific educational content was assessed via the Global Quality Score (GQS), and specific educational content was assessed using the Achilles Tendon Specific Score (ATSS). Read More

Arch Orthop Trauma Surg 2022 May 14. Epub 2022 May 14.

Department of Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Introduction: There is no uniform consensus on the gold standard therapy for acute Achilles tendon rupture. The aim of this pilot study was to compare operative and conservative treatment regarding imaging findings and clinical outcome.

Materials And Methods: Surgically or conservatively treated patients with acute Achilles tendon rupture were retrospectively evaluated. Read More

J Appl Physiol (1985) 2022 Jul 12;133(1):11-19. Epub 2022 May 12.

Faculty of Sport and Health Sciences, Neuromuscular Research Center, University of Jyväskylä, Jyväskylä, Finland.

The Achilles tendon (AT) is composed of three distinct in-series elastic subtendons, arising from different muscles in the triceps surae. Independent activation of any of these muscles is thought to induce sliding between the adjacent AT subtendons. We aimed to investigate displacement patterns during voluntary contraction (VOL) and selective transcutaneous stimulation of medial (MG) and lateral (LG) gastrocnemius between ruptured and healthy tendons and to examine the representative areas of AT subtendons. Read More

Knee Surg Relat Res 2022 May 8;34(1):24. Epub 2022 May 8.

Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Rua Dr. Ovídio Pires de Campos, 333 - Cerqueira Cesar, São Paulo, SP, CEP: 05403-010, Brazil.

Background: Revision anterior cruciate ligament (ACL) reconstructions are usually complex owing to previous tunnels. The objective of this study is to report the results of a revision ACL reconstruction technique with a tibial tunnel performed from the anterolateral plateau associated with an anterolateral ligament (ALL) reconstruction.

Methods: Patients with at least two ACL reconstructions that failed and who had significant enlargement and confluence of tunnels in the medial tibial plateau and underwent revision ACL reconstruction associated with ALL reconstruction with the tibial tunnel for the ACL performed from the lateral plateau between 2017 and 2019 were evaluated. Read More

Eur J Appl Physiol 2022 May 6. Epub 2022 May 6.

Faculty of Sport and Health Sciences, Neuromuscular Research Centre, University of Jyväskylä, Viveca 227, Rautpohjankatu 8, 40700, Jyväskylä, Finland.

Purpose: Measurement of medial gastrocnemius (MG) tendon length using ultrasonography (US) requires the muscle-tendon junction (MTJ) to be located. Previously, the MG MTJ has been tracked from different proximo-distal locations near the MTJ, which could influence estimates of tendon length change due to the different characteristics of the aponeurosis and tendon. We used US to evaluate the effect of tracking point location on MG MTJ displacement during maximal and submaximal (10, 20 and 30% of the non-injured maximal) isometric plantar flexion contractions. Read More

Ultrasound 2022 May 15;30(2):117-125. Epub 2021 Jun 15.

School of Health and Care Professions, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.

Introduction: The Achilles tendon is the most frequently ruptured tendon. Prompt diagnosis of this injury ensures optimal management decisions are instituted early ensuring the best outcome and patient experience, at minimal cost to the United Kingdom National Health Service. Despite this, regional and national variations to diagnosis and management exist, with anecdotal evidence of inefficiencies in the local patient pathway. Read More

Eur J Orthop Surg Traumatol 2022 May 4. Epub 2022 May 4.

Guy's and St Thomas' NHS Foundation Trust, Maze Pond, London, SE1 9RT, UK.

Background: The clinical outcomes following surgical management of insertional Achilles tendinopathy (IAT) vary depending on the surgical technique used to reattach the Achilles tendon following debridement. The aim of this study was to investigate the clinical outcomes of patients with IAT who underwent surgical management with a double-row suture bridge technique used to reattach the Achilles tendon.

Methods: A retrospective review of consecutive patients diagnosed with IAT, who underwent surgical management utilising a double-row suture bridge technique (Arthex Speedbridge), and a minimum of 3-month follow-up were included. Read More

Pediatr Med Chir 2022 May 3;44(1). Epub 2022 May 3.

Pediatric Orthopedic and Traumatology Unit, Children's Hospital, AON SS Antonio e Biagio e Cesare Arrigo, Alessandria.

Congenital Clubfoot (CCF) treatment involves a surgical procedure on the Achilles tendon most of the time, i.e. tenotomy or, in selected cases, Z-plasty lengthening. Read More

Int Med Case Rep J 2022 22;15:219-223. Epub 2022 Apr 22.

Institute of Sports Exercise and Health, University College Hospital London, London, UK.

Background: Delayed Achilles tendon ruptures leaving large defects are difficult to treat, and the potential for tendon regeneration is thought to be limited. Furthermore, post-operative wound healing problems, sometimes including infections, can be challenging to treat and negatively affect rehabilitation.

Case Presentation: This 74-year-old lady suffered from insertional Achilles tendinopathy. Read More

Arthrosc Tech 2022 Apr 19;11(4):e631-e638. Epub 2022 Mar 19.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.

Patellar tendon ruptures are functionally devastating injuries that result in failure of the knee extensor mechanism and can lead to a loss of ambulation. Chronic patellar tendon injuries are defined as tears greater than 2 weeks old and are typically more complex to manage than acute tears. Recently, the use of double-row suture anchor configurations has been explored as a technique to provide improved strength in addition to tendon-to-bone compression at the anatomic footprint. Read More

Dis Mon 2022 Apr 27:101381. Epub 2022 Apr 27.

Department of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, United States.

Complete submission template and then save to your computer: Make sure to address each prompt or your submission cannot be accepted. Upload (1) the saved template and (2) at least one image or video into the submission system. Read More