Abstract
The Achilles tendon (AT), the largest and strongest human tendon, is also the most frequently ruptured [8]. The incidence of AT ruptures has increased in the last decade and usually occurs in sedentary population playing sport occasionally, especially in their third or fourth decade of life. Most of AT ruptures occur during sport activities, and biomechanical and biochemical changes related to ageing may play a significant role [7]. Even though many theories have been developed to explain the aetiology of AT rupture, no agreement was found in the literature. Gastrocnemius-soleus dysfunction, gender, age, changes in training pattern, poor technique, previous injuries, footwear, poor tendon vascularity, and degeneration are frequently attributed to AT ruptures. Infective diseases, hyperthyroidism, neurological conditions, renal insufficiency, arteriosclerosis, inflammatory and autoimmune conditions, hyperuricaemia, genetically determined collagen abnormalities, and high serum lipid concentration can be associated with AT ruptures [9].
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