Nonoperative Management of Acute Ruptures

  • Hajo Thermann
  • Christoph Becher

The rapidly growing trend for participation in recreational and competitive sports is accompanied by an increase of overuse syndromes. In the foot and ankle, the incidence of Achilles tendon ruptures and tendon-related disorders has increased significantly in the last decades.1, 2, 3 In Germany alone, the incidence of acute Achilles tendon rupture is estimated to be 15,000 cases a year.3

The classic Achilles rupture usually does not occur at times of the highest level of sports activities, but rather shows a peak incidence between the ages of 30 and 45 years.4, 5, 6, 7, 8, 9 This patient population is made up of a remarkably large portion of leisure athletes and patients with sedentary occupations.10 In the athletic population, the portion of injuries among track-and-field athletes is cited as only 10%, and these are mostly young patients who have sustained a tendon rupture as a result of an incompletely treated Achilles tendinopathy or after an enormous training workload.9

In the...


Achilles Tendon Tendon Rupture Tendon Healing Rupture Site Normal Tendon 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Hajo Thermann
    • 1
  • Christoph Becher
    • 2
  1. 1.Atos-Clinic Center, Heidelberg, Center for Knee and Foot SurgeryHeidelbergGermany
  2. 2.Department of OrthopaedicsHannover Medical SchoolHannoveGermany

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