Talk:Achilles tendon rupture

message: On the basis of woeful personal experience, I suggest that somebody with the requisite expertise edit the achilles tendon rupture page to include the warning that, if there is any possibility of tendon rupture, the patient should see a specialist as soon after the injury as possible.  Apparently, after a month or so, the development of scar tissue precludes surgery and the patient is doomed to have a floppy foot for the rest of his or her life.  God knows, I would love to learn otherwise.  nickthompson@clarku.edu
*How on earth did you manage to function for a month after rupturing your Achilles? When I did mine last November I could barely walk. After visiting a Dr the next morning I was basically sent straight to hospital for a cast. Even now I'm not really 100 per cent. Lisiate 02:28, 13 June 2007 (UTC)
thread_title: A request for practical edits adding warnings for patients

message: Needs a section on incidence (how often does this occur? in whom?)
There's a study showing very significantly higher risk of rupturing the OTHER Achilles tendon after you've ruptured the first, ca. 200 times the background risk (though still only 1-2% probability, at least during the first few years).
This Wikipedia article cites prior rupture of the SAME Achilles tendon as a risk factor, but I am unaware of any study that substantiates that claimed risk factor, after complete healing. On the contrary, there is at least extensive anecdotal evidence that a healed Achilles rupture "cures" prior Achilles tendinosis.
Treatment and Rehabilitation section needs to be made into separate paragraphs, and needs links to other papers and citations. Scholarchanter (talk) 01:04, 1 June 2010 (UTC)
thread_title: Editorial Comments

message: Would it be okay to create a section where we note athletic celebrities who have sustained this type of injury? Two that come to mind are David Beckham and Adam Copeland. I am not sure how frequent this is, if it became too numerous we could come up with some policy to narrow it down I suppose. Nym (talk) 18:17, 4 August 2010 (UTC)
replies: text: Those kinds of sections are generally avoided.  A conglomeration of random occurrences is not very encyclopedic.--NYMFan69-86 (talk) 06:47, 10 October 2010 (UTC)
thread_title: Celebrities

message: This is my first time reading the article and though it is adequately detailed in the causes and symptoms and treatments of an Achilles tendon Rupture, it still neglects to basically state what an Achilles tendon rupture is. Obviously one can extrapolate from the definition of the word rupture and the fact that it is a rupture applied to this tendon in the leg, but it should be stated as such in the article, with no need for extrapolation. Rajrajmarley (talk) 17:14, 23 March 2011 (UTC)
thread_title: The article seems somewhat unclear

message: The final paragraph of the Achilles tendon rupture#Treatment section (just before surgery) reads like editorialising and original research on behalf of the submitting editor. Additionally, the use of parentheses around the word "experts" is clearly pushing a point of view as to the competency of said experts in an unencyclopedic manner. This paragraph needs to be rewritten to attribute and properly cite all opinions and fact presented, using language appropriate to an encyclopedia.
While the rest of the article appears to have a decent level of citation, the Achilles tendon rupture#Rehabilitation section seems lacking in this regard.
Regrettably I do not have sufficient expertise in medicine to rectify these shortcomings and so have tagged these sections appropriately. I hope other editors will be able to assist.
Thank you, --MegaSloth (talk) 20:56, 2 January 2012 (UTC)
thread_title:  Concerns regarding this article 

message: I can see that a capital "A" is used for Achilles throughout (most of) this article, and I understand that the name comes from the Greek warrior.  However I also understand that names of tendons and other body parts would not normally be capitalised.  I won't change the article, however I don't think all the capital A's are warranted. 14.200.208.126 (talk) 20:58, 11 July 2015 (UTC)
thread_title:  Capitalisation of the word "Achilles" (Vs "achilles) 

message: Milepost Date	Xkirex (talk) 03:07, 5 March 2022 (UTC)
thread_title: Wiki Education assignment: WikiMed Feb-Mar 2022 UCSF SOM

message: In reviewing the original state of the article versus the direction and edits that you have made, I want to start by saying that you clearly spent time and were thoughtful in your approach to this challenging and vital topic.
Causes
·The information presented is great. I would suggest, however, to best try and match the wiki suggested guidelines and the format of the rest of the article by combining the information into a paragraph.
·Quinolone antibiotics are mentioned in two different parts of this section. I would combine this information.
·“Yet, recent studies have shown that Achilles’ tendon ruptures are rising in all ages up to 60 years of age. This is because remaining active has become popularized around the world.”
o  Possibly rephrase as this is a theory as to why the incidence is increasing, the actual cause may yet to be discovered or if it was from a recently published study the inactivity that occurred during the beginning of the covid pandemic in the US followed by a return to the same level of activity led anecdotally at least to a significant increase in these types of injuries which is often why this can also be referred to as the “weekend warrior” injury.
Diagnosis
· “An ultrasound is recommended over MRI, and MRI is generally not needed.”
o  Achilles tendon rupture is often a clinical diagnosis that can be made based on the history and physical exam findings. However, if an equivocal or partial tear is suspect, ultrasound or MRI are the most helpful imaging modalities with nearly equivalent sensitivity and specificity. So, as it gets into later under the imaging section and US is the first line, and typically all that would be needed, it is operator dependent, and an MRI would be better for catching partial tears. I would suggest rephrasing this to reflect this exception and the reasoning behind US v. MRI.
·  DDX
o  There is a differential in the summary box near the intro but not in the diagnosis section itself. I wouldn’t make it super detailed, but it would be good to see similarities in differences for Achilles tendinopathy. You could even link to the page and borrow some of the content written in the article.
Treatment
· In the intro to this section, I would combine the final sentence into the body of the paragraph rather than two separate paragraphs.
· There is a lot of great information regarding complications in this section. I think it could warrant its own prognosis or outcomes section. Following the wikimed template, this would follow the treatment section.
o  Treatment of Acute Achilles Tendon Ruptures: A Systematic Review and Meta-analysis of Complication Rates With Best- and Worst-Case Analyses for Rerupture Rates.
o  Seow D, Yasui Y, Calder JDF, Kennedy JG, Pearce CJ  
o  Am J Sports Med. 2021;49(13):3728. Epub 2021 Mar 30.
o  An updated reference that discusses complications from surgical v non-surgical approaches
·There could also be added information regarding non-surgical approaches to treatment and initial approaches and what is done in a partial versus complete tear.
o  For example, from UpToDate: “Initial care — Initial management of Achilles tendon rupture consists of ice applied to the area, analgesics (acetaminophen and/or NSAIDs are generally sufficient), rest (ie, non-weightbearing with crutches), immobilization with the ankle in some plantarflexion (generally a short-leg splint is used (picture 4)), and referral to an orthopedic surgeon.”
·Rehabilitation
o  I agree with the banner suggesting adding to the citations of this subheading.
Epidemiology
·“There are 2 age groups more likely to suffer from an Achilles tendon rupture. A younger age group between 25-40 and an older age group over 60.”
o  Could rephrase to say something along the lines of Achilles tendon rupture tends to occur most frequently between the ages of 25-40 and over 60 years of age.
~~~ Joeception (talk) 23:26, 18 March 2022 (UTC)
replies: text: Thank you for taking the time to carefully review my work in progress. You bring up some valid suggestions in each of the sections. I agree with you, and will address each point you made and make those revisions. Xkirex (talk) 23:51, 23 March 2022 (UTC)
thread_title:  Peer Review