The Achilles tendon is exposed to high levels of stress during locomotion and movement. Because high forces are transmitted through this tendon, continuous physical stresses degrade and degenerate the structural integrity of the Achilles. Ruptures are most commonly seen 2-5 cm above the calcaneal joint. The ruptures most likely occur between the 3rd and 5th decade of life and 25%-30% are seen bilaterally. Although high activity and sports are correlated with an Achilles tendon rupture, "incidence of Achilles tendon ruptures in recreationists amounts to 61% (Grubor 2012)." Decreased tendon strength, increased physical activity, past history of corticosteroids, and previous history of trauma have all been attributed to possible causes. Click here to continue reading
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