Advertisement

Achillespeesruptuur

  • Koos van Nugteren
Chapter
Part of the Orthopedische casuïstiek book series (OPC)

Samenvatting

Een 45-jarige obese vrouw gaat, nadat zij jaren niet gesport heeft, weer voor het eerst badmintonnen. Na tien minuten, bij het neerkomen na een sprong voelt ze een heftige pijnscheut achter de rechterenkel. Ze kan niet meer verder spelen. Dit is een kenmerkend verhaal van een patiënt die de achillespees scheurt. Het letsel wordt nog regelmatig gemist in de medische en paramedische praktijk. Toch is het klinisch beeld heel kenmerkend. Dit hoofdstuk beschrijft de belangrijkste symptomen, risicofactoren, de conservatieve therapie en ten slotte de voor- en nadelen van een operatie.

Literatuur

  1. 1.
    Simmonds FA. The diagnosis of the ruptured achilles tendon. Practitioner. 1957;179(1069):56–8.PubMedGoogle Scholar
  2. 2.
    Thompson TC. A test for rupture of the tendo achillis. Acta Orthop Scand. 1962;32:461–5.CrossRefGoogle Scholar
  3. 3.
    Matles AL. Rupture of the tendo achilles: another diagnostic sign. Bull Hosp Joint Dis. 1975;36(1):48–51.PubMedGoogle Scholar
  4. 4.
    O’Brien M. Functional anatomy and physiology of tendons. Clin Sports Med. 1992;11(3):505–20.PubMedGoogle Scholar
  5. 5.
    Thevendran G, Sarraf KM, Patel NK, Sadri A, Rosenfeld P. The ruptured achilles tendon: a current overview from biology of rupture to treatment. Musculoskelet Surg. 2013;97(1):9–20.CrossRefGoogle Scholar
  6. 6.
    Chalmers J. Review article: treatment of achilles tendon ruptures. J Orthop Surg (Hong Kong). 2000;8(1):97–9.CrossRefGoogle Scholar
  7. 7.
    Fox MJ, Blazina ME, Jobe FW, Kerlan RK, Carter VS, Shields CL, Carlson J. Degeneration and rupture of the achilles tendon. Clin Orthop Relat Res. 1975;107:221–4.CrossRefGoogle Scholar
  8. 8.
    Abrahams M. Mechanical behavior of tendons in vitro. Med Biol Eng. 1967;5:433.CrossRefGoogle Scholar
  9. 9.
    Inglis AE, Sculco TP. Surgical repair of ruptures of the tendo achilles. Clin Orthoped. 1981;156:160–9.Google Scholar
  10. 10.
    De Morree JJ. Dynamiek van het menselijk bindweefsel. Functie, beschadiging en herstel. Houten: Bohn Stafleu van Loghum; 2014. Hoofdstuk 8.3.3.Google Scholar
  11. 11.
    Noback PC, Freibott CE, Tantigate D, Jang E, Greisberg JK, Wong T, Vosseller JT. Prevalence of asymptomatic achilles tendinosis. Foot Ankle Int. 2018 May 1.Google Scholar
  12. 12.
    Dams OC, Van den Akker-Scheek I, Diercks RL, Wendt KW, Zwerver J, Reininga IHF. Surveying the management of achilles tendon ruptures in the Netherlands: lack of consensus and need for treatment guidelines. Knee Surg Sports Traumatol Arthrosc. 2018 Jul 3.Google Scholar
  13. 13.
    Martens M. Orthopedische Casuïstiek: casus EV 69. 2000.Google Scholar
  14. 14.
    Mortensen NHM, Saether J, Steinke MS, Staehr H, Mikkelsen SS. Separatation of tendon ends after achilles tendon repair: a prospective randomized, multicenter study. Orthopedics. 1992;15:899–903.PubMedGoogle Scholar
  15. 15.
    Nystrom B, Holmlund D. Separation of tendon ends after suture of achilles tendon. Acta Orthoped Scand. 1983;54:620–1.CrossRefGoogle Scholar
  16. 16.
    Spiro G, Pneumaticos MD, Philip C, Noble PD, William C, McGarvey MD, Dina R, Mody MD, Saul G, Trevino MD. The Effects of early mobilisation in the healing of achilles tendon repair. Foot Ankle Int. 2000;21:551–7.CrossRefGoogle Scholar
  17. 17.
    Porter DA, Mannarino FP, Snead D, Gabel SJ, Ostrowsky M. Primary repair without augmentation for early neglected achilles tendon ruptures in the recreational athlete. Foot Ankle Int. 1997;18(9):557–64.CrossRefGoogle Scholar
  18. 18.
    Boyden EM, Kitaoka HB, Cahalan TD, Kai-Nan An. Late Versus Early Repair of Achilles Tendon Rupture. Clinical Orthopedics and Related Research. 1995;317:150–8.Google Scholar
  19. 19.
    Nestorson J, Movin T, Möller M, Karlsson J. Function after achilles tendon rupture in the elderly: 25 patients older than 65 years followed for 3 years. Acta Orthop Scand. 2000;71(1):64–8.CrossRefGoogle Scholar
  20. 20.
    Khan RJ, Fick D, Brammar TJ, Crawford J, Parker MJ. Interventions for treating acute Achilles tendon ruptures. Cochrane Database Syst Rev. 2004;(3).Google Scholar
  21. 21.
    Paavola M, Orava S, Leppilahti J, Kunnus P, Järvinen M. Chronic achilles tendon overuse injury: Complications after surgical treatment. An Analysis of 432 Consecutive Patients. Am J Sports Med. 2000;28:77–82.CrossRefGoogle Scholar
  22. 22.
    Twaddle BC, Poon P. Early motion for achilles tendon ruptures: is surgery important? A randomized, prospective study. Am J Sports Med. 2007;35(12):2033–8.CrossRefGoogle Scholar
  23. 23.
    Schröder D, Lehmann M, Steinbrück K. Treatment of acute achilles tendon ruptures: open versus percutaneous repair versus conservative treatment. A prospective randomized study. 2nd World Congress on Sports Trauma. Lake Buena Vista. 1996.Google Scholar
  24. 24.
    Heim U, Heim C, Subcutaneaous achilles tendon ruture. Experiences with 99 operations on fresh injuries. Die subcutane Achillessehnenruptur. Helv Chir Acta. 1977;44:581–90.Google Scholar

Copyright information

© Bohn Stafleu van Loghum is een imprint van Springer Media B.V., onderdeel van Springer Nature 2019

Authors and Affiliations

  • Koos van Nugteren
    • 1
  1. 1.Beek-Berg en DalNederland

Personalised recommendations