Search Our Scientific Publications & Authors

JBJS Case Connect 2019 Apr 16. Epub 2019 Apr 16.

MetroHealth Medical Center, Cleveland, Ohio.

Case: We present the case of a 15-year-old girl who has a history of Ponseti casting followed by Achilles tenotomies for congenital clubfeet as an infant and subsequently suffered an acute traumatic midsubstance Achilles tendon rupture on the left and midsubstance Achilles tendinosis on the right.

Conclusions: Traumatic pediatric Achilles ruptures are rare. There are no prior reported cases in patients with a history of Achilles tenotomy, despite it being a described potential complication. Read More

Arch Plast Surg 2019 Apr 1. Epub 2019 Apr 1.

Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.

A 70-year-old man complained imbalance while walking, inability to perform ankle flexion, and could not stand on tip-toe 3 months after injury. The ankle looked swollen with loss of Achilles contour and obvious gait disturbance. Magnetic resonance imaging shows a 5-cm Achilles tendon gap. Read More

J Sports Med Phys Fitness 2019 May;59(5):839-845

Department of Orthopedic Surgery, University Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia -

Plantaris muscle (lat. musculus plantaris) is a fusiform muscle of the superficial posterior leg compartment, characterized with a small muscle belly and very long and slender tendon. Many anatomical variations of plantaris muscle have been reported previously, including its inconstancy. Read More

FASEB J 2019 Mar 27:fj201900196R. Epub 2019 Mar 27.

Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, Botnar Research Centre, Nuffield Orthopaedic Center, University of Oxford, Oxford, United Kingdom.

Resolution of inflammation is poorly understood in Achilles tendon disorders. Herein, we investigated the bioactive lipid mediator profiles of tendon-derived stromal cells isolated from patients with Achilles tendinopathy (AT) or Achilles rupture (AR) under baseline and IL-1β-stimulated conditions. We also determined whether incubating these cells with 2 of the mediators produced by tendon-derived stromal cells, 15-epi-LipoxinA (15-epi-LXA) or maresin (MaR)-1, moderated their proinflammatory phenotype. Read More

J Med Syst 2019 Mar 26;43(5):122. Epub 2019 Mar 26.

Technical University of Madrid, 28012, Madrid, Spain.

The use of conventional immobilization splints can cause a lot of mishaps and discomfort in patients. In addition, it is common the generation of muscle, joint and vascular complications arising from the application of classic restraint devices in this phase of treatment. Currently, it is being observed that these problems could be solved with the use of Advanced Manufacturing techniques based on Additive Manufacturing (AM), industrial digitalization and reverse engineering for the realization of individualized immobilization splints. Read More

Cureus 2018 Dec 27;10(12):e3783. Epub 2018 Dec 27.

Dermatology, San Diego Family Dermatology, San Diego, USA.

Tendon disorders include tenosynovitis or tendonitis, tendinosis, and tendon rupture. Tendinopathy associated with drug administration has been associated with the systemic or local administration of several medications. A 90-year-old man who developed toxic tendinopathy after receiving cephalexin 500 mg twice daily has been described. Read More

Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Plastic, Reconstructive, Hand and Burn Surgery, Bogenhausen Academic Teaching Hospital, Munich, Germany.

Background: Following Achilles tendon rupture and repair, re-ruptures or infections are not infrequent. Consequently, several surgical techniques have been described to decrease complication rates. This study aimed to evaluate the outcomes of the free composite fascio-cutaneous anterolateral thigh (ALT) flap including fascia lata for reconstruction of combined complex soft-tissue and Achilles tendon defects. Read More

Injury 2019 Mar 11. Epub 2019 Mar 11.

Trauma & Orthopaedic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Objectives: The purpose of this study is to present outcomes and objective measures of assessment for acute Achilles tendon (AT) ruptures treated with an eight-week functional dynamic treatment protocol in a VACOped boot with immediate full weight bearing mobilisation, the Leicester Achilles Management Protocol (LAMP).

Methods: A prospective study of all patients treated with the LAMP with minimum 12-month follow-up was performed. Patients completed the Achilles Tendon Rupture Score (ATRS) and in the latter part of the study, objective measures of the calf muscle girth and heel raise height were obtained. Read More

Eklem Hastalik Cerrahisi 2019 Apr;30(1):65-7

Professor of Orthopedic Surgery, Turkish Joint Diseases Foundation, Ankara, Turkey.

In this article, we report a 67-year-old male patient who had a different wear pattern on the bottom of his tennis shoe after surgical repair of acute Achilles tendon rupture with 22-year follow-up. The wear pattern was well-matched with dynamic pedobarography. In left shoe with less total contact area and higher pressure values, there was more wear compared to right shoe. Read More

Exp Mol Pathol 2019 Mar 15;108:42-56. Epub 2019 Mar 15.

Laboratory for Muscle Plasticity, Department of Orthopedics, University of Zurich, Balgrist Campus, Zurich, Switzerland. Electronic address:

Achilles tendon rupture necessitates rapid tendon reattachment to reinstate plantar flexion before affected muscles deteriorate through muscle fiber atrophy and transformation. The implicated process may involve alterations in sarcolemmal sites of myofibril attachment (costameres), which control myofibrillogenesis via a mechano-regulated mechanism through integrin-associated focal adhesion kinase (FAK). We assessed the contribution of FAK to alterations in fiber type composition and expression of costamere-associated structural proteins, the phosphorylation status of Y397-FAK and downstream mTOR/JNK-P70S6K hypertrophy signaling in rat soleus muscle after Achilles tenotomy and tendon repair. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 03;33(3):382-386

Department of Hand Surgery, Tianjin Hospital, Tianjin, 300211, P.R.China.

Objective: To summarize the latest research progress of early postoperative rehabilitation for acute Achilles tendon rupture after surgical repair.

Methods: The high-quality randomized controlled trials and systematic reviews/meta-analyses regarding early postoperative rehabilitation for acute Achilles tendon rupture in recent years were reviewed.

Results: There are three functional rehabilitations after acute Achilles tendon rupture surgery, including early postoperative mobilization, early weight-bearing with immobilization, and early weight-bearing combined with mobilization. Read More

Arthritis Res Ther 2019 Mar 13;21(1):74. Epub 2019 Mar 13.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Nuffield Orthopaedic Centre, Headington, OX3 7LD, UK.

Background: Tendon disease is a significant global healthcare burden whereby patients experience pain and disability; however, the mechanisms that underlie inflammation and pain are poorly understood. Herein, we investigated the role of prostaglandins as important mediators of inflammation and pain in tissues and cells derived from patients with tendinopathy.

Methods: We studied supraspinatus and Achilles tendon biopsies from symptomatic patients with tendinopathy or rupture. Read More

J Sport Rehabil 2019 Mar 12:1-30. Epub 2019 Mar 12.

3 Centre for Health, Sport & Rehabilitation Sciences Research, University of Salford, manchester, United Kingdom.

Context:: Exercise is seen as the most evidence based treatment for managing tendinopathy and although the type of exercise used to manage tendinopathy may induce adaptation in healthy tendons, it is not clear whether these adaptations occur in tendinopathy and if so whether they are associated with improved clinical outcomes.

Objective:: The aim of the study was to synthesise available evidence for adaptation of the Achilles tendon to eccentric exercise and the relationship between adaptation (change in tendon thickness) and clinical outcomes among people with Achilles tendinopathy.

Evidence Acquisition:: The search was performed in September 2018 in several databases. Read More

Clin Med Insights Arthritis Musculoskelet Disord 2019 5;12:1179544119835222. Epub 2019 Mar 5.

Physical Medicine and Rehabilitation Department, Hospital Universitario Santa Cristina, Madrid, Spain.

Since the introduction of Fluoroquinolones (FQ) in 1960s, these antibiotics have been used in airway and urinary tract infections, due to absorption, biodisponibility, posology and long half-life time properties. However, several reports state that FQ can cause tendinopathy and rupture. These adverse effects can occur within hours after initial treatment to up to 6 months after withdrawal. Read More

Foot Ankle Surg 2019 Feb 25. Epub 2019 Feb 25.

University Hospital Carl Gustav Carus at TU Dresden, Dresden, Germany. Electronic address:

Background: This study aims at evaluating a substantial number of patients treated with a percutaneous, paratenon preserving technique for Achilles tendon repair using three different incisions with clinical follow-up and magnetic resonance imaging (MRI).

Methods: Ninety patients with percutaneous Achilles tendon repair using the Dresden technique for acute rupture were evaluated. Fifteen patients were treated using a central approach, 15 patients using a posterolateral approach and the original posteromedial approach was used in 60 patients. Read More

Foot Ankle Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Plastic Surgery, Clinica Mater Dei, Rome, Italy.

Background: We would like to describe our experience with Peroneus Brevis flap in complicated Achilles tendon re-ruptures with fringed stumps.

Methods: Eight patients with monolateral re-rupture of Achilles tendon were selected as eligible for surgical repair with Peroneus Brevis flap. Patients' outcome was evaluated clinically (ATRS and ROM), functionally (Gait analysis) and MRI was performed before and after surgery. Read More

Gait Posture 2019 May 25;70:59-64. Epub 2019 Feb 25.

University of Delaware, Department of Physical Therapy, 540 South College Ave, Newark, DE, USA. Electronic address:

Background: Orthopaedic boots with wedging are commonly used in the treatment of individuals with Achilles tendon rupture to immobilize the foot in plantar flexion and approximate tendon ends.

Research Question: To describe changes in muscle activity of the triceps surae and gait mechanics with the use of wedges in an orthopaedic boot immediately and after an accommodation period.

Methods: Muscle activity of the triceps surae and gait parameters (vertical ground reaction force, knee extension power, gait speed) were collected using surface electromyography and motion capture in 12 healthy individuals. Read More

J Orthop Res 2019 Apr 21;37(4):933-941. Epub 2019 Mar 21.

Department of Physical Therapy, University of Delaware, 540 S. College Ave, Newark, 19713, Delaware.

Achilles tendon rupture leads to long term plantar flexor deficits. The purpose of this study was to describe changes in jumping biomechanics along with triceps surae structure and activation in individuals after Achilles repair. Eleven individuals 1-3 years following Achilles repair and 10 healthy controls were included. Read More

Br Med Bull 2019 Feb 27. Epub 2019 Feb 27.

Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy.

Introduction: The present systematic review investigates the biological and chemical mechanisms that affect the health and structure of tendons following the use of fluoroquinolones (FQs).

Sources Of Data: A total of 12 articles were included, organized, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Areas Of Agreement: Five mechanisms were identified: arrest of proliferation through a decreased activity of cyclin B, CDK-1, CHK-1, and increased PK-1; decrease tenocytes migration through decreased phosphorylation of FAK; decrease type I collagen metabolism through increased MMP-2; chelate effect on ions that influence epigenetics and several enzymes; fluoroquinolones-induced ROS (radical oxygen species) production in mitochondria. Read More

Orthop Surg 2019 Feb 27;11(1):109-116. Epub 2019 Feb 27.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China.

Objective: To evaluate the surgical results of V-Y tendon plasty in the treatment of chronic Achilles tendon rupture during medium and long-term follow-up.

Methods: Between June 2005 and September 2017, 20 patients with chronic Achilles tendon rupture underwent V-Y tendon plasty in our hospital. The mean injury-to-surgery time was 20. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019832717

1 The First Clinical College, Zhejiang Chinese Medical University, Hangzhou, China.

Background:: Reconstruction of Myerson type III (defect size more than 5 cm) chronic Achilles tendon ruptures (CATRs) is a surgical challenge due to its large Achilles tendon defect. This study aims to describe our operative technique for Myerson type III CATR and its clinical outcomes.

Patients And Methods:: From May 2012 to April 2015, we treated seven patients (6 males, 1 female) with Myerson type III CATR using semitendinosus tendon and gracilis tendon autograft. Read More

Foot Ankle Int 2019 Feb 27:1071100719831371. Epub 2019 Feb 27.

2 Orthopaedic Foot and Ankle Service, Massachusetts General Hospital - Harvard Medical School, Newton-Wellesley Hospital, MA, USA.

Background:: Controversy remains regarding which patients with acute Achilles tendon rupture would best be treated nonoperatively and which might benefit from operative repair. The primary aim of this study was to characterize the overall incidence of-and specific risk factors associated with-postoperative complications that follow operative repair. We also evaluated the specific differences between complications after the use of an open or minimally invasive surgical (MIS) approach. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Feb 25. Epub 2019 Feb 25.

Department of Orthopaedic and Trauma Surgery, University of Salerno School of Medicine Surgery and Dentistry, Salerno, Italy.

Foot Ankle Int 2019 Jan;40(1):121

Foot Ankle Int 2019 Jan;40(1):122-123

Zhonghua Yi Xue Za Zhi 2019 Feb;99(7):542-546

Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China.

To compare the outcome of either flexor hallucis longus transfer or turn-down of proximal Achilles tendon tissue repair in treating chronic Achilles tendon rupture. The clinical data of 21 patients who underwent repair of Myerson type Ⅲ chronic Achilles tendon rupture at Peking University Sports Medicine Research Institute from May 2012 to March 2015 were retrospectively analyzed. Among them, 11 cases were treated with flexor hallucis longus (FHL) transfer, and 10 cases were treated with gastrocnemius turn-down flaps repair. Read More

Am J Sports Med 2019 Feb 19:363546518824601. Epub 2019 Feb 19.

Department of Orthopaedics, Second Affiliated Hospital of Chongqing Medical University, Chongqing Medical University, Chongqing, China.

Background:: Acute Achilles tendon rupture (ATR) has increased in the past decade, and many new treatments and rehabilitation regimens have been introduced. But major complications in ATR management remain an unsolved problem.

Purpose:: To compare the risk of major complications of acute ATR after different combinations of treatments and rehabilitation regimens. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Feb 18. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, South Korea.

Purpose: Rupture of the contralateral Achilles tendon following Achilles tendon rupture can lead to devastating outcomes. However, despite the clinical importance, the risk factors and incidence of contralateral Achilles tendon rupture have not been well studied. This study aimed to determine the incidence of contralateral tendon rupture after Achilles tendon rupture and to identify associated patient characteristics. Read More

Ann Chir Plast Esthet 2019 Apr 8;64(2):208-214. Epub 2019 Feb 8.

Service de chirurgie plastique, reconstructrice et esthétique, CHRU de Brest, boulevard Tanguy-Prigent, 29609 Brest cedex, France.

Introduction: Management of the combined loss of Achilles tendon and skin is difficult. However, these are not exceptional situations after Achilles tendon surgery. Data from the literature are extensive and there is currently no consensus on the technique of tendon reconstruction. Read More

BMC Musculoskelet Disord 2019 Feb 11;20(1):69. Epub 2019 Feb 11.

Department of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Background: Achilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs. Read More

Surg Technol Int 2019 Feb 11;34. Epub 2019 Feb 11.

Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio.

This paper presents two patients who sustained spontaneous closed Achilles tendon ruptures following minimally invasive ultrasonic energy therapy for non-insertional Achilles tendinopathy. In both cases, the patients underwent minimally invasive ultrasonic energy therapy using a commercially available device. In addition, the current evidence, through available literature, has been reviewed and presented. Read More

Am J Sports Med 2019 Mar 11;47(4):894-900. Epub 2019 Feb 11.

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

Background:: Mechanical loading is essential for tendon healing and may explain variability in patient outcomes after Achilles tendon rupture (ATR) repair. However, there is no consensus regarding the optimal postoperative regimen, and the actual amount of loading during orthosis immobilization is unknown.

Purpose:: The primary aim of this study was to assess the number of steps and the amount of loading in a weightbearing orthosis during the first 6 weeks after surgical ATR repair. Read More

J Orthop Case Rep 2018 Sep-Oct;8(5):61-66

Pre-Medical Student, at Washington University in St. Louis, Missouri, U.S.A.

Introduction: Rupture of the distal biceps brachii results in significant weakness and limitation of function in those affected. Acute ruptures of the biceps tendon are generally best treated with early repair, ideally within 3weeks of injury. The preferred treatment of chronic ruptures is still uncertain. Read More

J Orthop 2019 Jan-Feb;16(1):11-13. Epub 2018 Dec 6.

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, 60611, USA.

Purpose: The overall benefits of ACL reconstructive surgery in young athletes has been previously established. Graft selection for ACL reconstruction, specifically in this population however, remains controversial. The literature is limited and long-term survival rate of allograft ACL reconstruction in the adolescent population remains poorly defined. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Feb 6. Epub 2019 Feb 6.

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

J Biomech 2019 Mar 29;86:27-33. Epub 2019 Jan 29.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Achilles tendon ruptures have been linked with detrimental changes in muscle-tendon structure, which may help explain long-term functional deficits. However, the causal effects of muscle-tendon structure on joint function have not been tested in a controlled setting. Therefore, the purpose of this study was to test the implications of muscle-tendon unit parameters on simulated single-leg heel raise height. Read More

Stem Cells 2019 Feb 5. Epub 2019 Feb 5.

Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, Wisconsin, USA.

Tendon healing follows a complex series of coordinated events that ultimately produces a mechanically inferior tissue more scar-like than native tendon. More regenerative healing occurs when anti-inflammatory M2 macrophages play a more dominant role. Mesenchymal stromal/stem cells (MSCs) are able to polarize macrophages to an M2 immunophenotype via paracrine mechanisms. Read More

J Orthop Res 2019 Mar 28;37(3):562-573. Epub 2019 Feb 28.

McKay Orthopaedic Laboratory, University of Pennsylvania, 110 Stemmler Hall, 3450 Hamilton Walk, Philadelphia, Pennsylvania, 19104-6081.

Conservative (non-operative) treatment of Achilles tendon ruptures is a common alternative to operative treatment. Following rupture, ankle immobilization in plantarflexion is thought to aid healing by restoring tendon end-to-end apposition. However, early activity may improve limb function, challenging the role of immobilization position on tendon healing, as it may affect loading across the injury site. Read More

J Musculoskelet Disord Treat 2018 21;4(2). Epub 2018 May 21.

Department of Orthopaedic Surgery, Rush University Medical Center, USA.

Background: The attempted healing of tendon after acute injury (overloading, partial tear or complete rupture) proceeds via the normal wound healing cascade involving hemostasis, inflammation, matrix synthesis and matrix remodeling. Depending on the degree of trauma and the nature of the post-injury milieu, a variable degree of healing and recovery of function occurs. Post-injury analgesia is often achieved with NSAIDs such as Ibuprofen, however there is increasing evidence that NSAID usage may interfere with the healing process. Read More

Foot Ankle Surg 2018 Nov 10. Epub 2018 Nov 10.

Royal Sussex County Hospital, Eastern Road, Brighton, BN2 5BE, United Kingdom.

Background: Traditional fracture clinics are some of the busiest clinics in a hospital, often with significant patient waiting times and delays. The use of virtual fracture clinic (VFC) for the management of certain injuries to reduce the workload on the traditional fracture clinic, in addition to reducing costs is growing in popularity. The tendoachilles is the most frequently ruptured tendon in the body but despite this, management remains a keenly debated topic. Read More

Injury 2019 Jan 14. Epub 2019 Jan 14.

Orthopaedics Department, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, China.

Background: The purpose of this article was to introduce calcaneal lengthening for partial traumatic loss of the calcaneus. Effectiveness with the use of the technique was also assessed.

Methods: From January 2013 to May 2016, calcaneal lengthening was performed in 15 patients who sustained a partial traumatic loss of the tuberosity portion of calcaneus. Read More

J Foot Ankle Surg 2019 Jan 23. Epub 2019 Jan 23.

Current Chief of Surgery and Clinical Director, Department of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland.

Achilles tendon ruptures can be counted as the most common traumatic ankle injuries. As such, there is a comparatively large set of treatment options including surgical and nonsurgical approaches. The purpose of this case report is to demonstrate a new technique for a specific subgroup of Achilles tendon ruptures that present with a large tendinous gap. Read More

Br J Clin Pharmacol 2019 Jan 25. Epub 2019 Jan 25.

Boston Collaborative Drug Surveillance Program, 11 Muzzey Street, Lexington, MA, USA.

Aims: To estimate the relative, absolute and attributable risk of non-traumatic tendon rupture, at various sites, associated with use of fluoroquinolones, with and without concomitant corticosteroids.

Methods: We conducted cohort and nested case-control studies among fluoroquinolone users in the United Kingdom Clinical Practice Research Datalink Gold. We estimated the excess risk (cohort analysis) and odds ratios (ORs) (case control) of tendon rupture by fluoroquinolone (current, recent and past use versus unexposed) and corticosteroid (current versus unexposed) use. Read More

Exp Ther Med 2019 Feb 7;17(2):1426-1434. Epub 2018 Dec 7.

Department of Orthopaedics, Chinese People's Liberation Army General Hospital, Beijing 100853, P.R. China.

The present study aimed to investigate the biomechanical comparison of channel-assisted minimally invasive restoration and three common Achilles tendon restoration techniques in an model via a progressive rehabilitation program. The 42 porcine tendons were randomly assigned to the following six groups of tendons (n=7/group): Achillon, percutaneous Achilles repair system (PARS), Krackow, channel-assisted minimally invasive repair (CAMIR), CAMIR augmentation (CAMIR), CAMIR-5 (repair with No. 5 Ethibond suture). Read More

Knee Surg Sports Traumatol Arthrosc 2019 Jan 20. Epub 2019 Jan 20.

Foot and Ankle Injury Research [F.A.I.R.] group, Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, 3471 Fifth Ave., Pittsburgh, PA, 15213, USA.

Purpose: To assess the effects of medical comorbidities on the incidence of surgical site infection following primary Achilles tendon repair. A secondary aim was to assess the effects of specific medical comorbidities on the cost and extent of healthcare utilization related to surgical site infection following primary Achilles tendon repair.

Methods: 24,269 patients undergoing primary Achilles tendon repair between 2005 and 2012 were examined. Read More

J Am Acad Orthop Surg Glob Res Rev 2018 Aug 22;2(8):e043. Epub 2018 Aug 22.

Department of Orthopedic Surgery, New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.

Background: Achilles tendon rupture (ATR) is a common injury with increasing incidence. Several risk factors have been identified; however, little is known about seasonal variations in injury prevalence. Previous reports have generated mixed results, with no clear consensus in the literature. Read More

Orthop J Sports Med 2018 Dec 26;6(12):2325967118813904. Epub 2018 Dec 26.

Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden.

Background: There is limited evidence regarding the patient-related factors that influence treatment outcomes after an acute Achilles tendon rupture.

Purpose/hypothesis: The purpose of this study was to determine the predictors of functional and patient-reported outcomes 1 year after an acute Achilles tendon rupture using a multicenter cohort and to determine patient characteristics for reporting within the top and bottom 10% of the Achilles tendon Total Rupture Score (ATRS) and heel-rise height outcomes. The hypothesis was that older age, greater body mass index (BMI), and female sex would lead to inferior outcomes. Read More

Biomed Res Int 2018 6;2018:2367615. Epub 2018 Dec 6.

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

Purpose: To evaluate differences of Achilles tendon (AT) hardness and morphology between asymptomatic tendons in patients with acute AT ruptures on the contralateral side and asymptomatic tendons in healthy people by using computer-assisted quantification on axial-strain sonoelastography (ASE).

Methods: The study consisted of 33 asymptomatic tendons in 33 patients (study group) and 34 tendons in 19 healthy volunteers (control group). All the tendons were examined by both ASE and conventional ultrasound. Read More

BMJ 2019 01 7;364:k5344. Epub 2019 Jan 7.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.