Achilles tendon disorders

Achilles tendon is beside a quadriceps one, the strongest tendon in human body. Its name arises from the ancient hero Achilles. His mother Thetis wanted to make him invulnerable by immersing him in the saint river Styx. As she had to hold him his heel remained unprotected and thus his weakest point. This was a cause of his death – he was hit in a heel by a poisoned Paris’ arrow (led by a God Apollo) in the siege of Troy (term “Achilles heel” is so commonly used to describe the weakest point of someone). The name Achilles tendon comes from the story of the siege...

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There are only a few studies on calf muscle strength in patients with Achilles tendon disorders. Calf muscle strength has been measured after rehabilitation in pa- tients with surgically treated complete Achilles tendon ruptures4,14,15,17 and in patients with complete Achilles tendon ruptures treated either surgically or nonsurgi- cally.

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While numerous clinical studies have compared the surgical and non-surgical treatment of acute Achilles tendon rupture (ATR), there are no studies that have performed a non-inferiority analysis between treatments.

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This study aimed to compare the operative outcome of percutaneous repair (modified Bunnell suture technique) versus open repair (bundle-to-bundle suture technique) of acute Achilles tendon rupture. Methods: Seventy-two consecutive patients who underwent surgical treatment of Achilles tendon rupture were evaluated in this prospective study.

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Gout has been associated with weaker foot/leg muscles and altered gait patterns. There is also evidence of on-going foot pain and an increased risk of tendinopathy, with the Achilles and patella tendons most frequently affected in gout. Additionally, the inflammation associated with gout may change tissue elasticity.

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Despite of the fact that Achilles tendon rupture is not a very common injury, it has always attracted a great attention. Hippocrates is believed to be the first who wrote about its treatment, but the first description of the Achilles tendon rupture can be found in the works of Ambrois Pare in 1575. “Modern” concepts of conservative as well as operative treatment with many proposed methods can be found since 1929 in works of Quenu and Stojanović. These works still attract attention and many publications still arise every year....

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The currently available scoring methods for enthesitis are often measures of pain but not of inflammation at entheseal sites. The Outcome Measures in Rheumatology Clinical Trials (OMERACT) psoriatic arthritis (PsA) magnetic resonance imaging (MRI) scoring system (PsAMRIS) assesses inflammation and damage in PsA and was particularly developed for the hands.

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