The achilles tendon is one of the strongest tendons in the human body, and a healthy tendon will only rupture under very severe conditions. Experiments and statistics show a high probability of tendon rupture in the case of a person trying to make a quick start and thereby toppling over in the ankle joint. Toppling over means a quick overturning in the lower ankle joint as it may occur when starting out of the sagittal plane. Based on a verified model of the achilles tendon, of M. Gastrocnemius and M. Soleus (Hatze, H. (1980) IEEE Trans. Automatic Control 25, 375-385; Hoy et al. (1990) J. Biomechanics 23, 1185-1198.), the stress in different tendon fibres during such a movement is investigated. The results of this simulation show that the expected extreme stresses in the lateral tendon fibres are a possible starting point for a rupture.
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http://dx.doi.org/10.1016/0021-9290(94)00167-3 | DOI Listing |
World J Orthop
December 2024
School of Health and Nursing, Zhengzhou University, Zhengzhou 450000, Henan Province, China.
Background: Achilles tendon rupture is a common orthopedic injury, with an annual incidence of 11-37 per 100000 people, significantly impacting daily life. Minimally invasive surgery, increasingly favored for its reduced risks and comparable fixation strength to open surgery, addresses these challenges. Despite advantages like accelerated recovery, perioperative care poses emotional support, pain management, and rehabilitation challenges, impacting treatment efficacy and patient experience.
View Article and Find Full Text PDFJ Orthop Sports Phys Ther
January 2025
Midportion tendinopathy is a common overuse lower extremity injury, with a prevalence of 4% to 7%. Achilles tendinopathy especially affects people who participate in activities that load the Achilles tendon, such as running. The Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire has been the go-to patient-reported outcome measure of the perceived impact of Achilles tendinopathy.
View Article and Find Full Text PDFCureus
November 2024
Physical Medicine and Rehabilitation, St. John's National Academy of Health Sciences, Bengaluru, IND.
Emery-Dreifuss Muscular Dystrophy (EDMD) is a rare genetic disorder characterized by muscle weakness, joint contractures, and cardiac dysfunction. Within this spectrum, EDMD Type 2, attributed to a heterozygous missense variant in exon 9 of the LMNA gene, presents a distinctive clinical profile. This case report details the presentation and management of a teenage girl displaying neck, trunk, upper and lower limb weakness, Achilles tendon contracture, and lordosis.
View Article and Find Full Text PDFBMC Musculoskelet Disord
December 2024
Department of Orthopedics, The First Hospital of Qinhuangdao, Qinhuangdao, China.
Objective: To provide clinicians with reliable recommendations for the selection of appropriate suturing techniques for surgical management of common musculoskeletal soft tissue injuries.
Methods: A systematic search of PubMed, Springer, Web Science, Vip Database, China National Knowledge, and Wanfang Data for in vitro biomechanical studies on suture techniques in the surgical treatment of musculoskeletal soft tissue injuries covering relevant studies from April 2009 to April 2024 was performed. A generalized classification was made based on the characteristics of the techniques, and recommendations for the selection of suture techniques were made according to the GRADE concept.
The plantaris muscle is spindle-shaped in the posterior compartment of the leg. It is distinguished for its small muscle belly and an exceptionally long tendon. It presents with great variability in its origin and insertion when present.
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