Achilles tendon tear following shock wave therapy for calcific tendinopathy of the Achilles tendon: A case report

Abstract Introduction Extracorporeal shock wave therapy (ESWT) is becoming a popular method for the treatment of musculoskeletal disorders. We herein report a case of Achilles tendon rupture possibly related to ESWT. Case report A 49-year-old female was treated with a calcaneal osteotomy due to Hagl...

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Bibliographic Details
Published in:Physical therapy in sport 2012-08, Vol.13 (3), p.189-192
Main Authors: Lin, Tsung-Ching, Lin, Cheng-Yuan, Chou, Cheng-Liang, Chiu, Cheng-Ming
Format: Article
Language:English
Subjects:
Achilles tendon
Achilles Tendon - injuries
Achilles Tendon - surgery
Analgesics
Ankle
Calcific tendinopathy
Calcinosis - therapy
Case reports
Energy
Female
High-Energy Shock Waves - adverse effects
High-Energy Shock Waves - therapeutic use
Humans
Literature reviews
Lithotripsy
Middle Aged
Pain
Patients
Physical Medicine and Rehabilitation
Physical therapy
Risk Factors
Shock wave
Sports Medicine
Systematic review
Tendinitis
Tendinopathy - therapy
Tendon Injuries - etiology
Tendon Injuries - surgery
Tendons
Ultrasonic imaging
Ultrasound
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Summary:Abstract Introduction Extracorporeal shock wave therapy (ESWT) is becoming a popular method for the treatment of musculoskeletal disorders. We herein report a case of Achilles tendon rupture possibly related to ESWT. Case report A 49-year-old female was treated with a calcaneal osteotomy due to Haglund’s disease on the right. However, she developed chronic calcific Achilles tendinopathy postoperatively, and during the following 2 year period after surgery she received various non-steroidal anti-inflammatory drugs and one injection of corticosteroids. She was subsequently treated with extracorporeal shock wave therapy (ESWT), but persistent pain, local swelling and redness over posterior right ankle were noted. Two months after ESWT she experienced an Achilles tendon tear and received Achilles tendon reconstruction. Conclusion While ESWT is generally considered safe, physicians should be aware of potential major complications.
ISSN:1466-853X
1873-1600
DOI:10.1016/j.ptsp.2011.08.002