yogabook / pathologie / tendon rupture

tendon rupture

Definition

Complete (avulsion) or partial (rupture) tear of a muscle tendon, possibly with bony avulsion. Common: Achilles tendon, long biceps tendon, quadriceps tendon. Peak incidence of tears: male, 20-50 years of age.

In the case of tendon ruptures due to degeneration of the tendon tissue with the development of corresponding insertional tendinopathies, the question of whether the muscle is relevant for stabilizing the stance phase is of great importance when deciding on surgical treatment. This is particularly true for the adductor muscles and the hamstrings. During the first three weeks after the operation, only light isometric exercises are performed, otherwise the patient is spared by using forearm crutches for walking. An ultrasound scan three weeks after the operation determines the next steps; the first dynamic exercises can usually be performed after five weeks, followed by another ultrasound scan after a further six weeks to decide whether to resume training.

ICD M66

Cause

1. inadequate sudden load
2. Trauma

Predisposing

– Musculoskeletal system

1. Existing degenerative pre-damage
2. Inadequate training and stretching condition
3. Tendinitis
4. Tendovaginitis

– Dispositional diseases

1. Gout
2. Diabetes mellitus

– other factors

1. Age

Diagnosis

1. Sono
2. X-ray
3. MRI if necessary
4. functio laesa depending on the extent
5. In case of rupture of the archilles tendon: a dent may be visible
6. In case of rupture of the archilles tendon: inability to stand on toes

Symptoms

1. Bang during demolition
2. Sharp pain in both (complete or partial tear)
3. Pronounced start-up pain and pain after exertion
4. Pain at rest
5. Swelling
6. Hematoma
7. Significant pain on movement, if torn off: Loss of movement

Complications

1. The rupture may be accompanied by an avulsion of a piece of bone at the insertion/origin of the tendon, which is usually an indication for surgery
2. Recurrence in 10%
3. Postoperative adhesion of the tendon sheath
4. Remaining tendon shortening and thus flexion or extension deficits

Therapy

1. PECH:
2. In case of rupture: prolonged immobilization in a position in which the tendon ends approach each other; then KG
3. Surgical suturing of the tendon if necessary
4. Plastic if necessary
5. Slow increase in exercise capacity with conservative and surgical treatment
6. Resumption of sports training only after weeks, in the case of the quadriceps tendoneven after a year