Achilles Tendonitis Flashcards
What is Achilles tendonitis
Inflammation of the calcaneal tendon
In whom is Achilles tendonitis more common in
In people who engage in high intensity activities such as running and jumping
What may occur after Achilles tendonitis
Achilles’ tendon rupture resulting in loss of the ipilateral calf muscles
What muscles join to form the Achilles’ tendon
Soleus
Gastrocnemius
Plantaris
What is the pathophysiology of Achilles tendonitis
Repetitive action of the tendon results in microtears leading to localised inflammation. Over time the tendon becomes thickened, fibrotic, and loses elasticity with repeated episodes.
What are the risk factors of getting Achilles tendonitis
Poor footwear
Male gender
Obesity
fluoroquinolone use ( tendon rupture)
What are the clinical features of achilles tendonitis
Gradual onset of pain
Worse with movement
Tenderness over the tendon
What are the clinical features of Achilles’ tendon rupture
Sudden onset pain
Pop sound
Loss of power
What is the simmonds tests and what is it used for
Assessment of Achilles’ tendon rupture
patient kneeling on a chair, with the affected ankle hanging off the edge of the chair, squeeze the affected calf. If the Achilles tendon is in continuity, the foot will plantarflex; however, plantarflexion is absent when the tendon is ruptured.
What are the investigations for achilles tendonitis / Achilles’ tendon rupture
Both clinical diagnosis
How do you manage achilles tendonitis
stop precipitating exercise, ice the area, and use anti-inflammatory medication regularly.
Chronic cases = physio
What is the management for acute Achilles’ tendon rupture
Analgesia
Immobilisation
If:
Ankle splinted in a plaster = NWB therefore have crutches
Moonboot - allowed to WB
What is the management for chronic Achilles’ tendon rupture
surgical fixation with an end-to-end tendon repair.
