RUPTURED ACHILLES TENDON, A COMMON INJURY IN ATHLETES

Introduction: The Achilles tendon also named calcaneal tendon, can be subjected to tensile loads up 10 times the body weight. It is located on posterior aspect of lower leg and thickest tendon. This accounts for 20% all large injuries. There discussion which best treatment, among percutaneous repair has risk injuring sural nerve. When a sharp, explosive sudden force exerted rupture or tears occur.most these ruptures occur during sports; however, sometimes it happens in non-athletes sedentary people. Objective: To detail current information related its as well different approach techniques. Methodology: A total 29 articles were analyzed this review, including review original articles, clinical cases, 19 bibliographies used because other not relevant study. sources PubMed, Google Scholar Cochrane; terms search Spanish English were: achilles rupture, treatment. Results: more frequent adults between third fifth decade life. acutely they usually present pain back accompanied by snapping. pathology falsely diagnosed an ankle sprain 25%. All patients require physical orthopedic therapy initial treatment consists rest, elevation, control functional appliances. advantages non-surgical are avoidance hospital admissions, wound complications anesthesia. However, main disadvantage lies increased re-rupture, ranging 40%. Return sporting life initiated 9 months after surgery long patient able dorsiflex. Surgical new rate 0.5% while approximately Conclusions: formed fusion gastrocnemius soleus muscles distal part. contraction two generates that causes plantar flexion foot. innervated essentially Signs affected person may include swelling, bruising and/or noticeable alteration Thompsons test better assess picture. In athletics, basketball, diving, tennis, cycling, volleyball, gymnastics others common see ruptures. If presents with trauma leg, advisable take X-rays order rule out fractures. diagnosis confirmed MRI ultrasound. techniques open, semi-open limited open repair, although regardless technique choice, restoration length must ensured. Patients significant medical comorbidities those relatively lifestyles recommended opt therapy. mitigates re-rupture compared conservative treatment; complication rates much higher, almost athletes return activity without any limitations.