SUMMARY
Background. Patient-reported outcome scores and comparable re-rupture rates in randomized controlled trials have not shown a definitive benefit for operative treatment after acute Achilles tendon rupture. This, together with the increasing rupture rates in the older age group has led to non-operative treatment being increasingly used.
Objective. This study aimed to determine the variation in Achilles Tendon Resting Angle (ATRA) together with patient reported and functional outcome, with non-operative management of the ruptured Achilles tendon using two different regimes, which have been shown to offer low re-rupture rates.
Methods. This is a non-randomised cohort comparison of Achilles tendon rupture patients managed with Non-Weight-Bearing (NWB) for 6 weeks vs. Early Weight-Bearing (EWB). The NWB-group received a cast in plantar flexion for 2 weeks followed by 6 weeks in a controlled ankle motion boot with incremental diminishing plantar flexion. The EWB-group received an initial anterior protective plaster slab in plantar flexion followed by 6 weeks of weight-bearing on the meta-tarsal heads, with an anterior shell restricting dorsiflexion.
Results. At 12 months after the injury there were no differences in any of the variables between the two treatment groups. The NWB-group compared to the EWB-group reported at mean (SD) for ATRA -9.8˚ (4.6˚) versus -11.4˚ (5˚), p=0.32, for Achilles tendon Total Rupture Score (ATRS) 87 (10) versus 79 (19), p=0.43 and for Heel-Rise Height Index (HRHI) 71% (19%) versus 59% (13%), p=0.13.
Conclusions. The two methods of non-operative treatment studied lead to increased relative ATRA following injury, however, patients report only minor limitation in terms of outcome. Patients had almost a third less heel-rise height compared with the non-injured ankle.
No difference in Achilles Tendon Resting Angle, Patient-reported outcome or Heel-rise height Index between Non- and Early-weightbearing the First Year after an Achilles Tendon Rupture
M. R. Carmont, A. Brorsson, J. Karlsson, K. Nilsson-Helander
Original Article, 651-658
Keywords: Achilles tendon rupture; non-operative management; patient choice; Achilles tendon resting angle; heel-rise height; weight bearing,
Table of Content: Vol. 10 (No.4) 2020 October/December
-
The Role of Hyaluronic Acid Injection for the Treatment of Tendinopathy
A. Frizziero, F. Vittadini, D. Bigliardi, C. CostantinoEditorial, 548-552 -
Randomized Trial of Hymovis® versus Synvisc® on Matrix Metalloproteinases in Knee Osteoarthritis
E. Falcinelli, N. Giordan, F. Luccioli, E. Piselli, G. M. C. La Paglia, S. Momi, G. Mirabelli, E. Petito, A. Alunno, P. Gresele, R. GerliOriginal Article, 553-561 -
Muscle Injuries: 2020 Update of the I.S.Mu.L.T. Classification
G. Nanni, A. Frizziero, R. Di Miceli, F. Vittadini, P. Finotti, J. Gamberini, F. Oliva, M. Freschi, M. Buckthorpe, N. MaffulliOriginal Article, 562-567 -
Adding Injectable Chitosan Poloxamer to Platelet Rich Plasma (PRP) Has no Beneficial Effect in Knee OA. A prospective Experimental Study in Guinea Pigs
T. Bansal, S. Patel, D. K. Chouhan, A. Bhatia, B. Medhi, N. Kakkar, M. Singh DhillonOriginal Article, 568-578 -
Brown/Beige Fat Activation after Skeletal Muscle Ischemia-Reperfusion Injury
M. Liu, Z. Wang, C. S. Lee, C. Nguyen, L. Lee, H. T. Kim, B. T. Feeley, X. LiuOriginal Article, 579-588 -
Epidermal Growth Factor Stimulates Rabbit Achilles Tendon Histologically and Biomechanically Healing
I. A. Kocyigit, G. Huri, S. Yürüker, R. Hashemihesar, P. Yilgor Huri, J. Nyland, M. N. DoralOriginal Article, 589-602 -
Rotator Cuff Repair with Different Suture Materials Results in Different Protein Expressions with Similar Histological Findings: An Experimental Study in Rabbits
E. Okay, M. BezerOriginal Article, 603-611 -
Optimal Platelet Concentration for The Therapeutic Effect of Autologous Neutrophil-Reduced Platelet Rich Plasma in A Rat Model of Achilles Tendinopathy
M. Yoshida, H. FunasakiOriginal Article, 612-621 -
Cross-Cultural Adaptation of The Visa-P Questionnaire for Danish-Speaking Patients with Patella Tendinopathy
S. Risager, T. Grønbech Nielsen, E. M. Bartels, H. Langberg, M. Lind, J. E. Jørgensen, J. Vestergård IversenOriginal Article, 622-632 -
Female Cadaveric Study of Neurovascular Pedicle in Latissimus Dorsi Muscle Flap
Latha V. Prabhu, Mangala M. Pai, Y. Lakshmisha Rao, B. V. Murlimanju, R. VadgaonkarOriginal Article, 633-639 -
Exploring Correlation between Extent of Tumour Necrosis on MRI And Histological Grade of Soft Tissue Sarcoma – An Initial Experience
S. Thaker, C. Azzopardi, A. Gulia, R. BotchuOriginal Article, 640-644 -
Hamstring Structural Injury in Futsal Players: The Effect of Active Range of Motion (AROM) Deficit on Rehabilitation Period
L. Smirnova, A. Derinov, I. GlazkovaOriginal Article, 645-650 -
No difference in Achilles Tendon Resting Angle, Patient-reported outcome or Heel-rise height Index between Non- and Early-weightbearing the First Year after an Achilles Tendon Rupture
M. R. Carmont, A. Brorsson, J. Karlsson, K. Nilsson-HelanderOriginal Article, 651-658 -
The Prevalence of Self-Reported Psychological Characteristics of Adults with Lower Limb Tendinopathy
J. Mest, B. Vaughan, J. Mulcahy, P. MalliarasOriginal Article, 659-671 -
Morphometric Profile of Distal Biceps Tendon: A Cadaveric Approach
N. Kumar, A. Aithal P., S. D. Shetty, M. Rao K. G.Original Article, 672-677 -
Operative Versus Non-Operative Management of Distal Biceps Brachii Tendon Rupture: A Systematic Review
M. K. Qureshi, A. S. Khaled, A. O. Elgindi, S. Mastan, M. JeyamReview, 678-685 -
A description of Physical Therapists’ Knowledge in Basic Competence Examination of Musculoskeletal Conditions: an Italian National Cross-Sectional Survey
G. Giovannico, F. Brindisino, M. Pappaccogli, A. Saltalamacchia, F. Bonetti, M. Tavarnelli, M. Mezzetti, A. DelittoOriginal Article, 686-697 -
Assessment and Management of Lateral Elbow Pain in Physiotherapy Clinical Practice: an Italian National Survey
T. Cioce, D. Pennella, F. Brindisino, L. Di Filippo, M. Salomon, F. MaselliOriginal Article, 698-712 -
Effectiveness of A Smartphone Directed Physical Activity Program on Cardiometabolic Disease Risk in Desk-Based Office Employees – A Pragmatic, Two-Arm, Parallel, Cluster Randomised Trial
T. C. Zongpa, B. Chandrasekaran, A. ArumugamOriginal Article, 713-723 -
Treadmill Low-Intensity Training Mediates Fibrosis and Maintains the Function of Dystrophic Muscle: Understanding the Effects Over Time
A. Ferreira Lemes de Morais, P. Avelino Ferreira Pinto, A. Nobre Evangelista, A. P. Santos, A. S. Dias Machado, T. Peixoto GaiadOriginal Article, 724-733 -
Rehabilitation in Subjects with Chronic non-specific Low Back Pain with Sacroiliac Joint Origin: Protocol for a Systematic Review
T. Shahmahmoodi, S. Izadi Laybidy, A. Rahimi, F. Bokaee, Z. S. RezaeianReview, 734-739 -
Lumbopelvic Stabilization Exercises and McKenzie Method in Low Back Pain Due to Disc Protrusion: A Blind Randomized Clinical Trial
M. B. Dohnert, C. Schwanck Borges, A.Steffen Evaldt, C. de Jesus Francisco, L. da Silva Dias, B. Chuaste Flores, G. Maciel Bello, R. Dimer da Luz, R. Boff DaitxOriginal Article, 740-751 -
The Evaluation of Trunk Muscle Endurance in People with And Without forward Head Posture: a Cross-Sectional Study
Z. Salahzadeh, M. Rezaei, H. Adigozali, P. Sarbakhsh, A. Hemati, N. Khalilian-EkramiOriginal Article, 752-758 -
The Relationship between Nordic Hamstring Test and Isokinetic Dynamometry in Football and Track and Field Student Athletes: a Cross-Sectional Study
N. Sadri-Aghdam, M. Rezaei, M.R. Azghani, F. Ghaderi, H. AdigozaliOriginal Article, 759-767