Distalsehnenrupturen

Distalsehnenrupturen, also known as distal tendon ruptures, refer to the tearing of a tendon where it attaches to a bone. These injuries commonly occur in the extremities, most frequently affecting the Achilles tendon, quadriceps tendon, and patellar tendon. A complete rupture means the tendon has been entirely severed, while a partial rupture involves a tear in only a portion of the tendon.

The primary cause of distal tendon ruptures is often a sudden, forceful contraction of the muscle against resistance, or a direct impact to the tendon. Risk factors can include age, as tendons become less flexible and more prone to injury with time. Certain medical conditions like diabetes and kidney disease, as well as the use of corticosteroid medications, can also weaken tendons. Additionally, athletes involved in sports requiring explosive movements, such as jumping and sprinting, are at higher risk.

Symptoms of a distal tendon rupture typically include a sudden, sharp pain at the site of the injury, often accompanied by an audible pop or snap. There may be swelling, bruising, and an inability to move the affected limb or joint. In cases of complete rupture, a visible gap may be felt or seen where the tendon should be.

Diagnosis usually involves a physical examination and imaging tests such as ultrasound or MRI to confirm the extent of the tear. Treatment depends on the severity of the rupture and the specific tendon involved. Complete ruptures often require surgical repair to reattach the torn tendon. Partial ruptures may be managed non-surgically with immobilization, rest, and gradual rehabilitation. Physical therapy plays a crucial role in restoring strength, flexibility, and function after either type of treatment.