Published online May 18, 2015. doi: 10.5312/wjo.v6.i4.380
Peer-review started: September 4, 2014
First decision: January 20, 2015
Revised: March 28, 2015
Accepted: April 16, 2015
Article in press: April 18, 2015
Published online: May 18, 2015
Core tip: Achilles tendon rupture is a common injury. Simmonds or Thomas’ test is a reliable diagnostic tool with a sensitivity of between 0.89-0.93. Studies have not shown conclusive superiority of operative repair compared with non-operative and casting techniques. Non-operative management has a more favourable complication profile. There is emerging evidence that the traditional perception that non-operative management is associated with higher re-rupture rates no longer holds true for the new management strategies which assess tendon gap and use a dedicated “Achilles tendon management infrastructure”. It is important that clinicians can recognize the injury and delayed diagnosis can lead to significant morbidity.