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Clinical Practice Update: Achilles Tendon Rupture
Hunter A O'Connor1, Luke W Adams1, Nathan Wm Skelley2,1
1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Summary
Achilles tendon rupture is a common sports injury. Treatment decisions between surgery and non-operative care depend on individual patient factors and goals, as outcomes are comparable.
Area of Science:
- Orthopedics
- Sports Medicine
- Musculoskeletal Injuries
Background:
- Achilles tendon rupture is a frequent injury, particularly in middle-aged men engaged in recreational sports.
- The injury is characterized by a sudden popping sensation, pain, and weakness, often during athletic activities.
Observation:
- Diagnosis is primarily clinical, with MRI used for confirmation and surgical planning.
- Treatment options include operative (open or minimally invasive) and non-operative (functional bracing or casting) approaches.
Findings:
- Non-operative treatment has gained favor due to evidence showing similar long-term outcomes to surgery.
- Neither surgical nor non-operative treatment is universally superior; each has distinct risks and benefits.
Implications:
- Surgical complications make it less suitable for the elderly or those with comorbidities.
- Non-operative management carries a higher risk of re-injury, a concern for active individuals.
- Patient-specific goals and priorities are crucial in selecting the optimal treatment strategy.
