Related Experiment Video
Updated: Jun 30, 2026
08:19
Author Spotlight: Unraveling the Mechanobiology of Tendon Impingement – A Multiaxial Murine Hind Limb Explant Model
Published on: December 8, 2023
1.5K
Current Concepts in the Management of Achilles Tendon Injuries
Tamunokuro Ezekiel Diamond1, Mike Tochi Achor2
1Department of Surgery, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt, Nigeria.
Summary
Achilles tendon ruptures are common, with diagnosis being clinical. Treatment has evolved from conservative care to various surgical options, but no single method is superior.
Area of Science:
- Orthopaedic Surgery
- Sports Medicine
- Musculoskeletal Injuries
Background:
- Achilles tendon ruptures are frequent orthopaedic injuries impacting ambulation.
- Diagnosis is primarily clinical, with diverse treatment options available.
- Current treatment strategies range from conservative management to surgical interventions.
Purpose of the Study:
- To review the evolution of Achilles tendon rupture diagnosis and treatment.
- To discuss current evidence on various treatment modalities and their outcomes.
- To highlight the strengths and weaknesses of different treatment approaches.
Main Methods:
- A narrative review of relevant studies on Achilles tendon ruptures.
- Emphasis on treatment options, their outcomes, strengths, and weaknesses.
- Analysis of diagnostic and therapeutic advancements.
Main Results:
- Treatment has evolved from conservative methods to surgical repairs (open, percutaneous, endoscopic, ultrasound-guided).
- No definitive consensus exists on the most superior treatment option.
- Conservative treatment offers lower costs and shorter hospital stays but risks ankle stiffness.
- Surgical interventions provide faster functional recovery but carry risks of infection and scarring.
Conclusions:
- Optimal patient selection, considering injury severity, patient factors, and surgeon experience, is crucial for successful outcomes.
- The choice of treatment for Achilles tendon ruptures requires careful consideration of individual patient needs and available resources.
- Continued research is needed to establish consensus on the most effective treatment for Achilles tendon injuries.
Related Concept Videos
01:22Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...