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Return to Football Following Achilles Tendon Rupture

  • Michael R. CarmontEmail author
  • Jennifer A. Zellers
  • Maurizio Fanchini
  • Jon Karlsson
  • Karin Grävare Silbernagel
Chapter

Abstract

The number of Achilles tendon ruptures is increasing, and they tend to occur in players at the later stages of their career. Even when ruptures are “successfully” managed without any complication, players demonstrate objective muscle strength weakness.

Treatment aims to stabilize the injured tendon and optimize the recovery of strength of the gastrocnemius-soleus complex while minimizing complications. The viscoelastic properties of the tendon need to be normalized in order to provide feedback and prevent re-rupture.

Rehabilitation programs need to consist of early weight-bearing and loading and a graduated development of heel rise strength and psychological recovery to enable resumption of competitive football.

Top Five Evidence Based References

  1. Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, Gojanovic B, Griffin S, Khan KM, Moksnes H, Mutch SA, Phillips N, Reurink G, Sadler R, Silbernagel KG, Thorburg K, Wangensteen A, Wilk KE, Bizzini M (2016) 2016 Consensus statement on return to sport from the First World Congress in Physical Therapy, Bern. Br J Sports Med 50(14):853–864CrossRefPubMedGoogle Scholar
  2. Lantto I, Heikkinen J, Flinkkila T, Ohtonen P, Siira P, Laine V, Leppilahti J (2016) A prospective randomized controlled trial comparing surgical and non-surgical treatments of acute Achilles tendon ruptures. Am J Sports Med 44(9):2406–2414CrossRefPubMedGoogle Scholar
  3. Olsson N, Silbernagel KG, Eriksson BI, Sansone M, Brorsson A, Nilsson-Helander K, Karlsson J (2013) Stable surgical repair with accelerated rehabilitation versus non-surgical management for acute Achilles tendon ruptures: a randomized controlled study. Am J Sports Med 41(12):2867–2876CrossRefPubMedGoogle Scholar
  4. Silbernagel KG, Steele R, Manal K (2012) Deficits in heel rise height and Achilles tendon elongation occur in patients recovering from an Achilles tendon rupture. Am J Sports Med 40(7):1564–1571CrossRefPubMedGoogle Scholar
  5. Zellers J, Carmont MR, Silbernagel KG (2016) Return to play post Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play. Br J Sports Med 50(21):1325–1332CrossRefGoogle Scholar

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Copyright information

© ESSKA 2018

Authors and Affiliations

  • Michael R. Carmont
    • 1
    • 2
    Email author
  • Jennifer A. Zellers
    • 3
  • Maurizio Fanchini
    • 2
  • Jon Karlsson
    • 4
  • Karin Grävare Silbernagel
    • 3
    • 4
  1. 1.Department of Orthopaedic SurgeryPrincess Royal Hospital, Shrewsbury & Telford Hospital NHS TrustShrewsburyUK
  2. 2.Department of Neurosciences, Biomedicine and Movement ScienceUniversity of VeronaVeronaItaly
  3. 3.The Department of PhysiotherapyUniversity of DelwareNewarkUSA
  4. 4.The Department of Orthopaedic Surgery, Institute of Clinical Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden

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