Diagnosis dan Tatalaksana Ruptur Tendon Achilles

Abstrak

Introduction: The Achilles tendon endures continuous stress that increases the risk of rupture. The Achilles tendon rupture often happens to those participating in sports, either recreationally or professionally. It is often misdiagnosed on initial presentation even though delay in treatment can lead to a worse prognosis.

Discussion: Patients with Achilles tendon rupture usually present with acute sharp in their lower limb accompanied by a popping sound. On physical examination, there may be a gap in the Achilles tendon either on inspection or palpation, hematoma, swelling, and weak plantarflexion of the ankle. To confirm the clinical diagnosis, several additional physical examination can be done such as Thompson test and Matles test. Diagnostic imaging in the form of ultrasonography or MRI is usually unnecessary if the clinical diagnosis is clear. The patient should be referred as soon as possible to an orthopaedic surgeon for further treatment. The treatment may be surgical or non-surgical, depending on comorbidities, goals, and preferences of the patient.

Conclusion: The initial diagnosis of Achilles tendon rupture should be done correctly and the patients should be referred to an orthopaedic surgeon immediately to get the appropriate treatment for better prognosis.