The causes of Achilles tendon rupture are categorized into open Achilles tendon rupture caused by direct trauma and Achilles tendon rupture caused by indirect external force, and the specific clinical manifestations are as follows:
1. Open Achilles tendon rupture caused by direct trauma: the skin of the injured area may be cracked and bleeding, and the Achilles tendon tissue can be seen in the wound, and there is a sensation of sticking and popping at the back of the ankle.
2. Rupture of Achilles tendon caused by indirect external force: it often occurs when the ankle joint is dorsiflexed for bouncing or stomping. The main manifestation is a sensation of stick strike at the back of the heel, followed by weakness of heel lifting and inability to complete the stomping and jumping movements. Difficulty in walking with claudication. A depression in the Achilles tendon occurs. Gradual swelling of the soft tissues follows, with petechiae extending to the heel at the back of the ankle.
Patients with a sticking sensation in the Achilles tendon in the hindfoot with pain in the hindfoot and difficulty in plantarflexion should be seen as soon as possible to confirm or exclude the diagnosis of Achilles tendon rupture and to prevent it from becoming an old Achilles tendon rupture. Surgical or non-surgical treatment should be chosen according to the specific situation.