Tendon Rupture

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Karin Gravare Silbernagel - One of the best experts on this subject based on the ideXlab platform.

  • high plantar force loading after achilles Tendon Rupture repair with early functional mobilization
    American Journal of Sports Medicine, 2019
    Co-Authors: Karin Gravare Silbernagel, Paul W Ackermann, Susanna Aufwerber, Annette Heijne
    Abstract:

    Background:Mechanical loading is essential for Tendon healing and may explain variability in patient outcomes after Achilles Tendon Rupture (ATR) repair. However, there is no consensus regarding th...

  • return to play post achilles Tendon Rupture a systematic review and meta analysis of rate and measures of return to play
    British Journal of Sports Medicine, 2016
    Co-Authors: Jennifer A. Zellers, Michael R Carmont, Karin Gravare Silbernagel
    Abstract:

    Aim This systematic review and meta-analysis sought to identify return to play (RTP) rates following Achilles Tendon Rupture and evaluate what measures are used to determine RTP. Design A systematic review and meta-analysis were performed. Studies were assessed for risk of bias and grouped based on repeatability of their measure of RTP determination. Data sources PubMed, CINAHL, Web of Science and Scopus databases were searched to identify potentially relevant articles. Eligibility criteria for selecting studies Studies reporting RTP/sport/sport activity in acute, closed Achilles Tendon Rupture were included. Results 108 studies encompassing 6506 patients were included for review. 85 studies included a measure for determining RTP. The rate of RTP in all studies was 80% (95% CI 75% to 85%). Studies with measures describing determination of RTP reported lower rates than studies without metrics described, with rates being significantly different between groups (p<0.001). Conclusions 80 per cent of patients returned to play following Achilles Tendon Rupture; however, the RTP rates are dependent on the quality of the method used to measure RTP. To further understand RTP after Achilles Tendon Rupture, a standardised, reliable and valid method is required.

  • sex differences in outcome after an acute achilles Tendon Rupture
    Orthopaedic Journal of Sports Medicine, 2014
    Co-Authors: Karin Gravare Silbernagel, Katarin Nilssonhelander, Nicklas Olsson, Annelie Brorsson, Bengt I Eriksson, Jon Karlsson
    Abstract:

    Background:Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles Tendon Rupture are often not possible because of the small cohort (<20%) of women.Pur...

  • deficits in heel rise height and achilles Tendon elongation occur in patients recovering from an achilles Tendon Rupture
    American Journal of Sports Medicine, 2012
    Co-Authors: Karin Gravare Silbernagel, Robert Steele, Kurt Manal
    Abstract:

    Background:Whether an Achilles Tendon Rupture is treated surgically or not, complications such as muscle weakness, decrease in heel-rise height, and gait abnormalities persist after injury.Purpose:The purpose of this study was to evaluate if side-to-side differences in maximal heel-rise height can be explained by differences in Achilles Tendon length.Study Design:Case series; Level of evidence, 4.Method:Eight patients (mean [SD] age of 46 [13] years) with acute Achilles Tendon Rupture and 10 healthy subjects (mean [SD] age of 28 [8] years) were included in the study. Heel-rise height, Achilles Tendon length, and patient-reported outcome were measured 3, 6, and 12 months after injury. Achilles Tendon length was evaluated using motion analysis and ultrasound imaging.Results:The Achilles Tendon length test-retest reliability (intraclass correlation coefficient = 0.97) was excellent. For the healthy subjects, there were no side-to-side differences in Tendon length and heel-rise height. Patients with Achilles ...

  • deficits in heel rise height and achilles Tendon elongation occur in patients recovering from an achilles Tendon Rupture
    American Journal of Sports Medicine, 2012
    Co-Authors: Karin Gravare Silbernagel, Robert Steele, Kurt Manal
    Abstract:

    Background:Whether an Achilles Tendon Rupture is treated surgically or not, complications such as muscle weakness, decrease in heel-rise height, and gait abnormalities persist after injury.Purpose:The purpose of this study was to evaluate if side-to-side differences in maximal heel-rise height can be explained by differences in Achilles Tendon length.Study Design:Case series; Level of evidence, 4.Method:Eight patients (mean [SD] age of 46 [13] years) with acute Achilles Tendon Rupture and 10 healthy subjects (mean [SD] age of 28 [8] years) were included in the study. Heel-rise height, Achilles Tendon length, and patient-reported outcome were measured 3, 6, and 12 months after injury. Achilles Tendon length was evaluated using motion analysis and ultrasound imaging.Results:The Achilles Tendon length test-retest reliability (intraclass correlation coefficient = 0.97) was excellent. For the healthy subjects, there were no side-to-side differences in Tendon length and heel-rise height. Patients with Achilles ...

Bengt I Eriksson - One of the best experts on this subject based on the ideXlab platform.

  • sex differences in outcome after an acute achilles Tendon Rupture
    Orthopaedic Journal of Sports Medicine, 2014
    Co-Authors: Karin Gravare Silbernagel, Katarin Nilssonhelander, Nicklas Olsson, Annelie Brorsson, Bengt I Eriksson, Jon Karlsson
    Abstract:

    Background:Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles Tendon Rupture are often not possible because of the small cohort (<20%) of women.Pur...

  • major functional deficits persist 2 years after acute achilles Tendon Rupture
    Knee Surgery Sports Traumatology Arthroscopy, 2011
    Co-Authors: Nicklas Olsson, Katarin Nilssonhelander, Eva Faxen, Bengt I Eriksson, Roland Thomee, Jon Karlsson, Karin Gravare Silbernagel
    Abstract:

    Purpose The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles Tendon Rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgical treatment with both groups receiving early mobilization.PurposeThis study was undertaken to compare outcomes of patients with acute Achilles Tendon Rupture treated with or without surgery using early mobilization and identical rehabilitation protocols.Study DesignRandomized, controlled trial; Level of evidence, 1.MethodsNinety-seven patients (79 men, 18 women; mean age, 41 years) with acute Achilles Tendon Rupture were treated and followed for 1 year. The primary end point was rerupturing. Patients were evaluated using the Achilles Tendon Total Rupture Score (ATRS), functional tests, and clinical examination at 6 and 12 months after injury.ResultsThere were 6 (12%) reRuptures in the nonsurgical group and 2 (4%) in the surgical group (P = .377). The mean 6- and 12-month ATRS were 72 and 88 points in the surgic...

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgic...

  • high incidence of deep venous thrombosis after achilles Tendon Rupture a prospective study
    Knee Surgery Sports Traumatology Arthroscopy, 2009
    Co-Authors: Katarin Nilssonhelander, Anders Thurin, Jon Karlsson, Bengt I Eriksson
    Abstract:

    Deep venous thrombosis (DVT) is common after lower limb injury, but the effect of prophylactic treatment has not been documented in large randomised trials or meta-analyses. As a result, evidence-based recommendations have not been established. The purpose of this study was to evaluate the incidence of venous thromboembolism in patients with Achilles Tendon Rupture. A total of 100 consecutive patients with an acute Achilles Tendon Rupture were included in a prospective study and randomised to either surgical or non-surgical treatment. At 8 weeks after the initiation of treatment, 95/100 patients were screened for DVT using colour duplex sonography (CDS) with blinded interpretation by two experienced examiners and adjudication in cases of disagreement by a third person. A total of 95 patients (79 male and 16 female) with a median (range) age of 41 (24–63) years were screened for CDS at 8 weeks. Of the 95 patients, 32 had a CDS-verified thrombosis, 5 proximal and 27 distal, whereas 3 had non-fatal pulmonary embolism. Surgical treatment was performed in 49 patients, non-surgical in 46. There were no significant differences in DVT frequency between the two treatment groups. The incidence of asymptomatic and symptomatic deep venous thrombosis is high after Achilles Tendon Rupture and there is a need to define the possible benefit of thromboprophylaxis.

Jon Karlsson - One of the best experts on this subject based on the ideXlab platform.

  • sex differences in outcome after an acute achilles Tendon Rupture
    Orthopaedic Journal of Sports Medicine, 2014
    Co-Authors: Karin Gravare Silbernagel, Katarin Nilssonhelander, Nicklas Olsson, Annelie Brorsson, Bengt I Eriksson, Jon Karlsson
    Abstract:

    Background:Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles Tendon Rupture are often not possible because of the small cohort (<20%) of women.Pur...

  • major functional deficits persist 2 years after acute achilles Tendon Rupture
    Knee Surgery Sports Traumatology Arthroscopy, 2011
    Co-Authors: Nicklas Olsson, Katarin Nilssonhelander, Eva Faxen, Bengt I Eriksson, Roland Thomee, Jon Karlsson, Karin Gravare Silbernagel
    Abstract:

    Purpose The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles Tendon Rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgical treatment with both groups receiving early mobilization.PurposeThis study was undertaken to compare outcomes of patients with acute Achilles Tendon Rupture treated with or without surgery using early mobilization and identical rehabilitation protocols.Study DesignRandomized, controlled trial; Level of evidence, 1.MethodsNinety-seven patients (79 men, 18 women; mean age, 41 years) with acute Achilles Tendon Rupture were treated and followed for 1 year. The primary end point was rerupturing. Patients were evaluated using the Achilles Tendon Total Rupture Score (ATRS), functional tests, and clinical examination at 6 and 12 months after injury.ResultsThere were 6 (12%) reRuptures in the nonsurgical group and 2 (4%) in the surgical group (P = .377). The mean 6- and 12-month ATRS were 72 and 88 points in the surgic...

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgic...

  • high incidence of deep venous thrombosis after achilles Tendon Rupture a prospective study
    Knee Surgery Sports Traumatology Arthroscopy, 2009
    Co-Authors: Katarin Nilssonhelander, Anders Thurin, Jon Karlsson, Bengt I Eriksson
    Abstract:

    Deep venous thrombosis (DVT) is common after lower limb injury, but the effect of prophylactic treatment has not been documented in large randomised trials or meta-analyses. As a result, evidence-based recommendations have not been established. The purpose of this study was to evaluate the incidence of venous thromboembolism in patients with Achilles Tendon Rupture. A total of 100 consecutive patients with an acute Achilles Tendon Rupture were included in a prospective study and randomised to either surgical or non-surgical treatment. At 8 weeks after the initiation of treatment, 95/100 patients were screened for DVT using colour duplex sonography (CDS) with blinded interpretation by two experienced examiners and adjudication in cases of disagreement by a third person. A total of 95 patients (79 male and 16 female) with a median (range) age of 41 (24–63) years were screened for CDS at 8 weeks. Of the 95 patients, 32 had a CDS-verified thrombosis, 5 proximal and 27 distal, whereas 3 had non-fatal pulmonary embolism. Surgical treatment was performed in 49 patients, non-surgical in 46. There were no significant differences in DVT frequency between the two treatment groups. The incidence of asymptomatic and symptomatic deep venous thrombosis is high after Achilles Tendon Rupture and there is a need to define the possible benefit of thromboprophylaxis.

Katarin Nilssonhelander - One of the best experts on this subject based on the ideXlab platform.

  • sex differences in outcome after an acute achilles Tendon Rupture
    Orthopaedic Journal of Sports Medicine, 2014
    Co-Authors: Karin Gravare Silbernagel, Katarin Nilssonhelander, Nicklas Olsson, Annelie Brorsson, Bengt I Eriksson, Jon Karlsson
    Abstract:

    Background:Tendon healing differs between the sexes. Comparisons in outcome between the sexes after an Achilles Tendon Rupture are often not possible because of the small cohort (<20%) of women.Pur...

  • major functional deficits persist 2 years after acute achilles Tendon Rupture
    Knee Surgery Sports Traumatology Arthroscopy, 2011
    Co-Authors: Nicklas Olsson, Katarin Nilssonhelander, Eva Faxen, Bengt I Eriksson, Roland Thomee, Jon Karlsson, Karin Gravare Silbernagel
    Abstract:

    Purpose The purpose of this prospective randomized controlled study was to evaluate the long-term results after an acute Achilles Tendon Rupture in patients treated surgically or non-surgically. The focus was to evaluate whether any improvements occurred between the one and 2-year evaluation.

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgical treatment with both groups receiving early mobilization.PurposeThis study was undertaken to compare outcomes of patients with acute Achilles Tendon Rupture treated with or without surgery using early mobilization and identical rehabilitation protocols.Study DesignRandomized, controlled trial; Level of evidence, 1.MethodsNinety-seven patients (79 men, 18 women; mean age, 41 years) with acute Achilles Tendon Rupture were treated and followed for 1 year. The primary end point was rerupturing. Patients were evaluated using the Achilles Tendon Total Rupture Score (ATRS), functional tests, and clinical examination at 6 and 12 months after injury.ResultsThere were 6 (12%) reRuptures in the nonsurgical group and 2 (4%) in the surgical group (P = .377). The mean 6- and 12-month ATRS were 72 and 88 points in the surgic...

  • acute achilles Tendon Rupture a randomized controlled study comparing surgical and nonsurgical treatments using validated outcome measures
    American Journal of Sports Medicine, 2010
    Co-Authors: Katarin Nilssonhelander, Nicklas Olsson, Eva Faxen, Bengt I Eriksson, Roland Thomee, Karin Gravare Silbernagel, Jon Karlsson
    Abstract:

    BackgroundThere is no consensus regarding the optimal treatment for patients with acute Achilles Tendon Rupture. Few randomized controlled studies have compared outcomes after surgical or nonsurgic...

  • high incidence of deep venous thrombosis after achilles Tendon Rupture a prospective study
    Knee Surgery Sports Traumatology Arthroscopy, 2009
    Co-Authors: Katarin Nilssonhelander, Anders Thurin, Jon Karlsson, Bengt I Eriksson
    Abstract:

    Deep venous thrombosis (DVT) is common after lower limb injury, but the effect of prophylactic treatment has not been documented in large randomised trials or meta-analyses. As a result, evidence-based recommendations have not been established. The purpose of this study was to evaluate the incidence of venous thromboembolism in patients with Achilles Tendon Rupture. A total of 100 consecutive patients with an acute Achilles Tendon Rupture were included in a prospective study and randomised to either surgical or non-surgical treatment. At 8 weeks after the initiation of treatment, 95/100 patients were screened for DVT using colour duplex sonography (CDS) with blinded interpretation by two experienced examiners and adjudication in cases of disagreement by a third person. A total of 95 patients (79 male and 16 female) with a median (range) age of 41 (24–63) years were screened for CDS at 8 weeks. Of the 95 patients, 32 had a CDS-verified thrombosis, 5 proximal and 27 distal, whereas 3 had non-fatal pulmonary embolism. Surgical treatment was performed in 49 patients, non-surgical in 46. There were no significant differences in DVT frequency between the two treatment groups. The incidence of asymptomatic and symptomatic deep venous thrombosis is high after Achilles Tendon Rupture and there is a need to define the possible benefit of thromboprophylaxis.

Richard Carey Smith - One of the best experts on this subject based on the ideXlab platform.

  • surgical interventions for treating acute achilles Tendon Rupture key findings from a recent cochrane review
    Journal of Bone and Joint Surgery American Volume, 2012
    Co-Authors: Matthew P. Jones, Riaz J.k. Khan, Richard Carey Smith
    Abstract:

    Acute Achilles Tendon Rupture is a relatively common injury resulting in substantial morbidity in young, active patients. It occurs most frequently in male individuals, and the incidence is thought to be increasing1. There has been a lack of consensus among orthopaedic surgeons regarding the best management of this injury. Treatment can be broadly divided into surgical (open or percutaneous) and nonsurgical (cast immobilization or functional bracing). In 2004 and 2005, our group published a meta-analysis of randomized controlled trials concerning treatment of acute Achilles Tendon Rupture, including different splinting techniques2,3. We concluded that open operative treatment of Achilles Tendon Rupture significantly reduced the risk of reRupture compared with nonoperative treatment, but that such treatment was associated with a significantly higher risk of other complications. Since the 2004 meta-analysis, several new randomized controlled trials on the treatment of acute Achilles Tendon Rupture have been published. In the present meta-analysis, we tested the hypothesis that surgical repair of Achilles Tendon Rupture reduces the reRupture rate and results in improved long-term function, without an increase in other complications. We focused purely on comparisons between surgical and nonsurgical methods and between different surgical techniques. We present data from fourteen studies involving 1085 patients4-17. We followed the Cochrane guidelines for conducting meta-analyses18. The principal investigators searched the Cochrane Bone, Joint and Muscle Trauma Group Specialized Register (July 2009), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2009, Issue 3), MEDLINE (1966 to July 20, 2009), EMBASE (1966 to 2009 week 29), CINAHL (1983 to July 2007), and reference lists of articles. All randomized and quasi-randomized trials comparing surgical with nonsurgical treatment or comparing different surgical treatments of acute Achilles Tendon Rupture in adults were included. Retrospective studies, studies with insufficient reporting …

  • surgical interventions for treating acute achilles Tendon Rupture key findings from a recent cochrane review
    Journal of Bone and Joint Surgery American Volume, 2012
    Co-Authors: Matthew P. Jones, Riaz J.k. Khan, Richard Carey Smith
    Abstract:

    Acute Achilles Tendon Rupture is a relatively common injury resulting in substantial morbidity in young, active patients. It occurs most frequently in male individuals, and the incidence is thought to be increasing1. There has been a lack of consensus among orthopaedic surgeons regarding the best ma

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