Erschienen in:
13.02.2017 | Foot and Ankle Sports Medicine (M Drakos, section editor)
Achilles tendon injuries
verfasst von:
Anthony C. Egger, Mark J. Berkowitz
Erschienen in:
Current Reviews in Musculoskeletal Medicine
|
Ausgabe 1/2017
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Abstract
Purpose of review
The purpose of this study is to review the current literature of Achilles tendon injuries, specifically chronic tendinopathy and acute ruptures in regard to etiology, diagnosis, treatment options, and outcomes.
Recent findings
The incidence of Achilles tendon injuries is increasing, but the necessity for surgical intervention is decreasing due to improved conservative therapies, which may provide comparable outcomes without the implied surgical risk. If surgery is undertaken, no difference has been noted between open and minimally invasive techniques. The majority of patients are able to return to pre-injury level of activity, with the elite athlete as an unfortunate exception.
Summary
Achilles injuries can be devastating injuries, but if addressed early and appropriately, most patients have good self-reported long-term outcomes regardless of the treatment modality implemented. Further research is needed into the etiology, potential preventative measures, and longer-term outcomes of the different treatment options for wide range of Achilles pathology.