Rupture of the Achilles and patellar tendons

Nicola Maffulli, Jason Wong

    Research output: Contribution to journalArticlepeer-review


    Certain similarities can clearly be appreciated between Achilles and patellar tendon ruptures. Both are strong tendons that transmit force bridging at least one joint of the lower limb. When healthy, both require massive forces to be disrupted, and both can be weakened through certain systemic disease processes, steroids, and fluoroquinones. Both allow for a variety of innovative management possibilities that ultimately lend themselves to individual surgical preference. We feel that, although surgical management plays an important role in restoring continuity in knee extension and in plantar flexion, functional outcome inevitably relies on patient motivation and a well-established physiotherapy regime. Sports physicians should be able to identify both conditions early in their presentation, but still hold a high index of suspicion for these problems in athletes who have an acute exacerbation of ongoing tendinopathy.
    Original languageEnglish
    Pages (from-to)761-776
    Number of pages15
    JournalClinics in Sports Medicine
    Issue number4
    Publication statusPublished - Oct 2003


    • injuries: Achilles Tendon
    • diagnosis: Athletic Injuries
    • Biomechanics
    • Humans
    • Magnetic Resonance Imaging
    • adverse effects: Orthopedic Procedures
    • Patella
    • diagnosis: Rupture
    • methods: Sports Medicine
    • diagnosis: Tendon Injuries


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