Rupture Tendon Achilles

GROUP 5
Anggota : 1. Galang Kharisma Putra 11310139
2. Intan Nabilah Pratiwi

11310170

3. Solehudin Widya Putra 11310360

4. Agung Istiawan

11310016

5. M Bagus Aryo

11310235

Language Centre Of
Universitas Malahayati
2014

BAB 1
1.1 CASE
A 12-year-old boy is brought to the physicians office with right thigh pain
and a limp. His mother has noticed him limping for the past week or so. He denies
any injury to his leg but says that it hurts some when he plays basketball with his
friends. He denies back pain, hip pain, or ankle pain. He occasionally gets some
pain in the right knee but does not have any swelling or bruising. He has no
significant medical history, does not take any medications regularly, and otherwise
feels fine. On examination, he is an overweight adolescent. His vital signs and a
general physical examination are normal. When you have him walk, he has a
prominent limp. You note that he seems to keep his weight on his left leg for a
greater proportion of his gait cycle than he does on the right leg. Examination of
his back reveals a full range of motion, no tenderness, and no muscle spasm. He
gets pain in the right hip when it is passively internally rotated. When the hip
passively flexed there is a noticeable external rotation. There is no thigh muscle
atrophy. His right knee and the remainder of his orthopedic examination are
normal.

1.2 KEYWORDS
1.
2.
3.
4.
5.
6.
7.
8.

A 12-year-old
Right tight pain and a limp
Him limping for the past week or so
He denies back pain, hip pain, or ankle pain
He has no significant medical history
His vital signs and a general physical examination are normal
He is overweight adolescent
His right knee and the remainder of his orthopedic examination are normal

1.3 Definition rupture tendo Achilles

Rupture tendo Achilles is the Achilles tendon rupture or injury that affects
the bottom rear of the foot.

1.4 Theory
Epidemiology
Achilles tendinopathy affects competitive and recreational athletes as well as
people who are not active. The incidence of Achilles tendon rupture in the general
population is 7 per 100.000. ove r 80% of rupture occur during recreational sports.
Approximately 10% of patients who sustain an Achilles tendon rupture had
preexisting Achilles tendon problem. This incident is more common in men than
women.

1.5 Object of study

Knowing all about of disease rupture tendo Achilles
Provide information about disease rupture tendo Achilles

BAB II
DISCUSSION

2.1 Causes an Rupture tendo Achilles

1.
2.
3.
4.
5.
6.

Certain diseases
Drugs
Injuries in sport
Sharp force trauma
Obesitas
Tendo receives less blood flow

2.2 Symptoms
1.
2.
3.
4.

Swelling, stiff and bruised

Sudden severe pain, felt in the back of the ankle or calf
The heel can not be moved up and down
Depression seen in the tendon 3-5 cm above the heel bone

2.3 Complications of an Rupture tendo Achilles

1. Permane damage or damage to tendons

2. Skin infections
3. The loss flexibility and reduced strength
4. Stiff joints

2.4 Clasification or type

Rupture tendo Achilles tears may be grouped into 4 types :
1. Type 1 : partial rupture <50% typically treated with conservative
management
2. Type 2 : complete rupture with tendinous gap <3cm typically treated with
end-end anastomosis
3. Type 3 : complete rupture with tendinous gap 3 to 6 cm often requires
tendon / synthetic graft
4. Type 4 : complete rupture with defect of >6 cm ( neglected ruptures)

2.5 Risk factor

1.
2.
3.
4.
5.

Achilles tendinopathy
Recent increase in activity level
Weak or inflexible calf muscles
Previous Achilles tendon rupture
Involvement in sports that involve running, jumping, twisting, or lunging
improper footwear
6. Obesity
7. Certain medications, such as quinolone antibiotics or corticosteroids, which
weaken the tendon
8. Collagen vascular disease, such as rheumatoid rheumatoid arthritis, lupus,
diabetes and scleroderma

2.6 Laboratory Diagnose

1. Radografii
2. CT scan
3. USG

2.7 Diagnose
1. Commonly the pasien feel like kick in his back foot
2. And abscess can be seen in entire achiles tendon
3. In the physical examination, we can found some space in the achiles
tendon

2.8 Treatment

1. Surgery can be performed, severed ends of the tendon be reconnected with

suturing techniques
2. Actions with non-surgical physical therapy : not done for athletes because
the long healing
3. Exercise is very important moves in the healing process
4. Be the installation of gyps

2.9 Prevention or education

1.
2.
3.
4.

Warming up and stretching before exercise

Do not force a workout if your feet feel tired
Get used to aggravate a calf exercise
Keep your weight to avoid obesity

2.10 Prognosis
Most people who experience a rupture achilles tendo, tendo will return to
normal. If the operation or surgery is done tendo will be stronger and less likely to
rupture again

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BAB III
Rupture tendo Achilles is the Achilles tendon rupture or injury that affects
the bottom rear of the foot. Rupture tendo achiless is not a deadly disease with
proper handing tendo will return to normal and heal in about 6 weeks.

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References
Chiodo DG, Glazebrook M, Bluman EM, Cohen BE, Femino JE, Giza E.
The diagnostic and treatment of acute Achilles tendon rupture. American
Academy of Orthopaedic Surgeons; 2009
Jung, Lee K, Cho S, Yoon T. Outcome of Achilles tendon ruptures treated
by a limited open technique. Foot and Ankle International, 2008 Aug; 29(8)

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