# A case report of Achilles tendon distractive rupture after shock wave therapy

**Authors:** Evangelia Argyropoulou, Evangelos Sakellariou, Panagiotis Karampinas, Meletis Rozis, Athanasios Galanis, Ioannis Kolovos, Panagiotis Antzoulas, Angelos Kaspiris, Elias Vasiliadis, John Vlamis, Spiros Pneumaticos

PMC · DOI: 10.1093/jscr/rjaf206 · Journal of Surgical Case Reports · 2025-04-05

## TL;DR

This case report highlights a rare Achilles tendon rupture following shock wave therapy in a 68-year-old patient with a history of tendinopathy.

## Contribution

The study presents a clinical case linking shock wave therapy to an Achilles tendon rupture, emphasizing the need for better understanding of biomechanical risks.

## Key findings

- A 68-year-old patient experienced an Achilles tendon rupture after shock wave therapy.
- The rupture was surgically repaired and linked to repeated micro-trauma from the treatment.
- The case suggests inadequate biomechanical understanding may contribute to such complications.

## Abstract

The primary objective of this research essay is to critically examine the relationship between shock wave therapy usage and subsequent. Achilles tendon ruptures, with a specific focus on a case involving a 68-year-old patient with a history of Achilles tendinopathy, who experienced a perceptible pop and intense Achilles pain, after treatment with shock wave therapy. The assessment revealed typical rupture that was treated with surgical repair. By tracking the patient’s medical history and various treatment methods employed, the study aims to clarify the complex link between therapeutic actions and potential risks. Additionally, the case report seeks to review current literature on the adverse effects of repeated micro-trauma from percussive ultrasound therapy, suggesting that an inadequate understanding of biomechanical principles may have contributed to the unexpected complications. Ultimately, the aim of the study is to raise awareness among clinicians about appropriate treatment protocols to ensure patient safety and optimal recovery outcomes.

## Full-text entities

- **Diseases:** Achilles pain (MESH:D010146), Achilles tendinopathy (MESH:D052256), micro (MESH:C536681), Achilles tendon ruptures (MESH:D012421), trauma (MESH:D014947)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11971564/full.md

## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC11971564/full.md

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Source: https://tomesphere.com/paper/PMC11971564