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Chronic Achilles tendon rupture

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chronic Achilles tendon rupture

Chronic Achilles tendon ruptures usually presents due to misdiagnosed, neglected or unrecognised acute rupture (1).

  • a diagnosis of acute Achilles tendon rupture is missed in more than 20% of cases by the first examining physician. These patients usually present with chronic rupture four to six weeks later (1,2)
  • chronic Achilles tendon ruptures have become common as acute Achilles tendon injuries have become more frequent (1).

The gap present in acute rupture may be absent since thickened scar tissue usually bridges the retracted ends of the tendons in an attempt at repair

  • this scar tissue is not as strong as the tendon and with time it elongates (1,2).

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