Roopnarinesingh Ryan, Kenyon Robert, Turley Luke, Feeley Aoife, Bayer Thomas, Merghani Khalid
Midland Regional Hospital Tullamore, Orthopaedic Department, Tullamore, Co. Offaly R35 NY51, Ireland.
Midland Regional Hospital Tullamore, Orthopaedic Department, Tullamore, Co. Offaly R35 NY51, Ireland.
Int J Surg Case Rep. 2021 Oct;87:106368. doi: 10.1016/j.ijscr.2021.106368. Epub 2021 Sep 7.
The weekend warrior has long been prey to musculoskeletal injuries as a result of intermittent, high intensity activity. The Achilles tendon is known to be particularly vulnerable in this population cohort but during the COVID-19 lockdowns in Ireland and all over the world there has been a certain level of detraining and deconditioning among all age groups and populations. Throughout the worldwide restrictions, viral internet challenges and dances have encapsulated the spirit of a global community with the 'Jerusalema' dance being no exception. The rise of this particular viral sensation was at the detriment of the Achilles tendons of three middle aged gentlemen on who we base our case series.
Over the space of ten days three cases of Achilles tendon rupture repair presented to the emergency department in Midlands Regional Hospital Tullamore (MRHT) with the mechanism of tendon rupture being through the 'Jerusalema' dance. These patients were surgically managed in line with local institution practice and postoperative outcomes were good with no complications noted. Follow up is ongoing.
This retrospective case series is based on the impact of the 'Jerusalema Dance' on presentations of Achilles tendon rupture to the Emergency Department in a single regional hospital from January to March 2021. We used these cases in conjunction with a review of current literature to highlight the benefit of an integrated Achilles Tendon rehabilitation programme in this at-risk patient cohort.
This paper highlights the dangers inherent when well intentioned, but physically deconditioned individuals endeavour to perform a physical exercise which is deceptively demanding. Going forward, viral challenges such as the 'Jerusalema' may contribute to new and interesting mechanisms of injuries in our 'weekend warrior' cohort. In addition to this, given the global deconditioning seen due to the COVID 19 pandemic and subsequent lockdowns we may see a higher rate of Achilles tendon injuries in the near future across a multitude of patient cohorts. Level one evidence suggests that conservative treatment is just as effective as surgical treatments in the majority of patients with an Achilles tendon rupture, as long as a protocol of rehabilitation with early weightbearing is performed. Our accelerated rehabilitation programme in MRHT is in line with others however internal audit and new literature in the future may enable us to refine it further.
长期以来，“周末战士”一直因间歇性高强度活动而容易遭受肌肉骨骼损伤。众所周知，跟腱在这类人群中特别脆弱，但在爱尔兰和全球范围内的新冠疫情封锁期间，所有年龄组和人群都出现了一定程度的运动训练减少和身体机能下降。在全球实施限制措施期间，网络上流行的各种挑战和舞蹈凝聚了全球社区的精神，“耶路撒冷人”舞蹈也不例外。这种特别的网络热潮的兴起，却让三位中年男性的跟腱受到了损伤，我们的病例系列就是基于他们的情况。
在十天内，三例跟腱断裂修复病例被送到图拉莫尔米德兰兹地区医院（MRHT）急诊科，跟腱断裂的机制是通过跳“耶路撒冷人”舞蹈。这些患者按照当地机构的做法接受了手术治疗，术后效果良好，未出现并发症。随访正在进行中。
这个回顾性病例系列基于2021年1月至3月期间，“耶路撒冷人舞蹈”对一家地区医院急诊科跟腱断裂病例的影响。我们结合这些病例以及对当前文献的综述，强调了在这个高危患者群体中实施综合跟腱康复计划的益处。
本文强调了这样一种危险，即那些虽有良好意愿但身体机能不佳的人，试图进行一项看似简单实则要求颇高的体育锻炼时可能面临的危险。展望未来，像“耶路撒冷人”这样的网络挑战可能会给我们这个“周末战士”群体带来新的、有趣的受伤机制。此外，鉴于新冠疫情大流行及随后的封锁导致全球身体机能下降，我们可能会在不久的将来看到众多患者群体中跟腱损伤的发生率更高。一级证据表明，在大多数跟腱断裂患者中，只要执行早期负重的康复方案，保守治疗与手术治疗同样有效。我们在MRHT的加速康复计划与其他方案一致，但未来的内部审计和新文献可能会使我们进一步完善它。
