Advertisement for orthosearch.org.uk
Orthopaedic Proceedings Logo

Receive monthly Table of Contents alerts from Orthopaedic Proceedings

Comprehensive article alerts can be set up and managed through your account settings

View my account settings

Visit Orthopaedic Proceedings at:

Loading...

Loading...

Full Access

ATYPICAL Z RUPTURES OF ACHILLES TENDON: REPORT OF 5 CASES



Abstract

This is a report of a retrospective clinical review of atypical Achilles tendon rupture. The main purpose to describe pathoanatomy and outcome of these ruptures.

Typically an Achilles tendon rupture is noted 4 to 6 cms above the insertion into the calcaneus and is usually related to a sporting event. However, atypical ruptures are different from the typical ruptures: site of rupture; type of rupture and presentation. In the authors experience, atypical ruptures are not common but probably underreported. The author discusses clinical findings, pathogenesis, operative findings and treatment.

Since 1998, 5 cases of atypical Achilles ruptures were seen at Hawkes Bay Hospital. There were 2 coronal Z ruptures and 3 sagittal ruptures All were treated surgically.

At minimal 18 months follow-up all Z ruptures did very well.

This study highlights atypical Achilles tendon ruptures. Their exact incident is not known but these 5 cases were seen among 104 Achilles tendon ruptures operated on by the author.

The abstracts were prepared by Jean-Claude Theis. Correspondence should be addressed to him at Department of Orthopaedic Surgery, Dunedin Hospital, Private Bag 1921, Dunedin, New Zealand.