Abstract

Partial subcutaneous rupture of the Achilles tendon has been considered a rare condition. Physical signs and symptoms have not been well established. The current review of 11 patients with 16 involved subcutaneous ruptures of the Achilles tendon treated at Southwestern Orthopedic Medical Group between the years 1971 and 1976 is intended to delineate the entity more clearly. Eighty-one percent of injuries occured in males (13 of 16). The average age atdiagnosis was 47.6 years. Pretherapy symptoms existed an average of 6 1/2 months before definitive therapy was instituted. Eighty-one percent of injuries were incurred during athletic activity (13 of 16). This study concludes (1) partial subcutaneous rupture of the tendo achillis occurs predominantly inyoung and middle-aged males involved in strenuous athletic activities; (2) predominant symptoms are pain, limping, weakness, and intermittent swelling; (3) palpation of the Achilles tendon will generally reveal a palpable partial defect butThompsons test will remain negative; (4) ablation of symptoms can usually be obtained nonoperatively but if symptoms persist beyond six months surgical exploration and repair is indicated; (5) the majority of patients canbe expected to return to their preinjury level of activity. Verf.-Referat (gekuerzt)