Partial mid-portion Achilles tear resulting in substantial improvement in pain and function in an amateur long-distance runner

Michal Marek Woyton, Stefan Kluzek, Thamindu Wedatilake, Madeleine A M Davies

Research output: Contribution to journalArticle

Abstract

This case presents symptom resolution for a long-distance runner with chronic Achilles tendinopathy (AT), following a partial tear of his Achilles tendon. The patient reported a sudden pain during a morning run, with preserved function. Three hours postinjury, he was reviewed in a musculoskeletal clinic. An ultrasound scan confirmed a partial Achilles tear, associated with significant Doppler activity. His index of AT severity The Victorian Institute of Sports Assessment - Achilles Questionnaire (VISA-A) 4 hours postinjury was markedly higher compared with 2 weeks preinjury, indicating reduced symptom severity. A follow-up scan 4 weeks postinjury showed minimal mid-portion swelling and no signs of the tear. His VISA-A score showed continued symptom improvement. This case represents resolution of tendinopathic symptomatology post partial Achilles tear. While the natural histories of AT and Achilles tears remain unknown, this case may indicate that alongside the known role of loading, inflammation may be a secondary mediator central to the successful resolution of AT pain.

Original languageEnglish
Article number225823
JournalBMJ Case Reports
Volume2018
DOIs
Publication statusPublished - 19 Sep 2018

Keywords

  • achilles tendinitis
  • sports and exercise medicine
  • tendon rupture
  • tendonopathies

ASJC Scopus subject areas

  • Medicine(all)

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