Abstract
Achilles tendon ruptures are the most common tendinous lesions in the adult population. The incidence has been rising, and it is more common between men and athletes. Achilles tendon rupture is a very relevant injury for athletes as it can threaten their career, with 20% to 40% not returning to elite sport. With the advent of better rehabilitation programs and new options available, the conservative treatment has become more popular and recent studies demonstrated similar outcomes compared with surgery. The conservative option is based on the principle of cast splint immobilization or functional braces, early weight-bearing and physical rehabilitation. The surgical treatment is based in open, mini-open and percutaneous approaches, with the goal to restore length and tension of the tendon. Percutaneous and mini-open techniques seem to have some benefit, as they reduce the risk of complications and an earlier return to physical activities.
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