Orthonotes
Orthonotes
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Achilles Tendinopathy & Rupture

Achilles tendon is most frequently injured tendon; common in athletes and middle-aged weekend warriors. Tendinopathy: degenerative process due to overuse, poor vascularity, fluoroquinolone/steroid use. Acute rupture: sudden pop, pain, inability to plantarflex; positive Thompson test. Imaging: USG/MRI confirm diagnosis, assess tendon gap/degeneration. Management: Tendinopathy—eccentric exercises, activity modification, PRP/shockwave. Rupture—conservative functional bracing or surgical repair depe...