Post on 05-Apr-2018
7/31/2019 CME : Tendo-Achilles Injury And Its Management-
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Eorcfst tfhkmh bh taf
gmky
Mrbcbh drm`
costrmihf`bus ohk
smefus `usiefs Bhsfrtbmh mh ioeiohfoe
tugfrmsbty
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Eoins o truf syhmvboe
safota-
\orotfhmh aos vbsifroe
ohk porbftoe eoyfrs
Oeemws dmr ?.6i` md
tfhkmh cebkf
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\orotfhmh
Ohtfrbmr rbiaey vosiueorbzfk
[af rf`obhkfr `uetbpef tabh
`f`grohfs
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Gemmk suppey
?) @usiuemtfhkbhmus juhitbmh
7) Mssfmus bhsfrtbmh mh ioeiohfus
9) @uetbpef `fsmtfhoe vfssfes mh
ohtfrbmr surdoif md porotfhmh (bh
okbpmsf)
[rohsvfrsf vbhiueo Dfwfst L 7 tm 4 i` prmxb`oe tm
mssfmus bhsfrtbmh
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Wf`ornogef rfspmhsf tm strfss
Fxfribsf bhkuifs tfhkmh kbo`ftfr
bhirfosf Bhoitbvbty mr b``mgbebzotbmh iousfs
ropbk otrmpay
Ocf-rfeotfk kfirfosfs bh ifee
kfhsbty, imeeocfh dbgrbe kbo`ftfr ohk
kfhsbty
Mekfr otaeftfs aovf abcafr bhjury
susifptbgbebty
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Costrmihf`bus-smefus-Oiabeefs
im`pefx
Ypohs 9 jmbhts Defx nhff
\eohtor defx tbgbmtoeor jmbht
Yupbhotf sugtoeor jmbht
Vp tm ?< tb`fs gmky wfbcat tarmucatfhkmh wafh ruhhbhc
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?. Iemsf bhjury/rupturf7. Mpfh bhjury/rupturf
Oiutf bhjury
Hfcefitfk bhjury
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?. Oiibkfhtoe iut bhjury
(gota rmm` bhjury, rmok
troddbi bhjury)
7. Ymiboe/pmebtbioe
Tbmefhif
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?. Kbochmsbs ohkossfss`fht md fxtfhk
md bhjury.
7. \rb`ory iorf9. Mpfrotbvf trfot`fht
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\otampaysbmemcy
Wfpftbtbvf `birmtrou`o
bh o rfeotbvfeyaypmvosiueor orfo.
Wfporotbvf prmifss
uhogef tm nffp up @oy gf mh taf
goincrmuhk md okfcfhfrotbvf tfhkmh
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Ohtfifkfht tfhkbhbtbs/tfhkbhmsbs bh ?6% 36% md spmrts-rfeotfk rupturfs aoppfh
bh potbfhts gftwffh 9
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7/31/2019 CME : Tendo-Achilles Injury And Its Management-
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Abstmry
Dffes ebnf gfbhc nbinfk bh taf efc Iosf rfpmrts md deumrmqubhmemhf usf,
stfrmbk bhjfitbmhs
@fiaohbs`
Fiifhtrbi emokbhc (ruhhbhc goinworks bh
tfhhbs)
Yukkfh uhfxpfitfk kmrsbdefxbmh md ohnef
(Kbrfit gemw mr eoifrotbmh)
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\rmhf potbfht wbta dfft mvfr fkcf md
gfk\oepotbmh md fhtbrf efhcta md `usief-
tfhkmh uhbt kurbhc oitbvf ohk
possbvf WM@
Im`porf tfhkmh wbkta tm mtafr sbkf
Hmtf tfhkfrhfss, irfpbtotbmh,wor`ta, swfeebhc, hmkueorbty,
poepogef kfdfits
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\ortboe
Emioebzfk tfhkfrhfss +/-
hmkueorbty
Im`peftfKfdfit
Iohhmt affe robsf
\msbtbvf [am`psmh tfst
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Kbochmstbi \btdoees
79% `bssfk gy \rb`ory \aysbiboh (Bhcebs& Yiueim)
[fhkmh kfdfit ioh gf `osnfk gy af`otm`o
\eohtor-defxbmh pmwfr md fxtrbhsbi dmmt defxmrsrftobhfk
[am`psmh tfst ioh prmkuif o doesf-hfcotbvfbd oiifssmry ohnef defxmrs oesm squffzfk
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[abs eotfroe x-roy md taf
ioeiohfus samws oh
ovuesbmh droiturf ot taf
bhsfrtbmh md taf Oiabeefs
tfhkmh, wbta `ornfk
sfporotbmh md droc`fhts.
.
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Bhfxpfhsbvf, dost, rfprmkuiogef,
kyho`bi fxo`bhotbmh pmssbgef
Mpfrotmr kfpfhkfht
Gfst tm `fosurf tabinhfss ohk cop
Cmmk sirffhbhc tfst dmr im`peftf
rupturf
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Fxpfhsbvf, hmt kyho`bi
Gfttfr ot kftfitbhc portboe
rupturfs ohk stocbhc
kfcfhfrotbvf iaohcfs,
(`mhbtmr afoebhc)
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Wfstmrf
`usiuemtfhkbhmus efhcta
ohk tfhsbmh.
Mptb`bzf costrm-smefmus
strfhcta ohk duhitbmh
Ovmbk ohnef stbddhfss
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IO@ Soenfr mr iost wbtapeohtordefxbmh q 7 wns7 wns
Oeemw prmcrfssbvf wfbcat-gforbhc bh rf`mvogef iost
Wf`mvf iost ohk woen wbta samf
ebdt. Ytort wbta 7i` x ? `mhta,
tafh ?i` x? `mhta tafh K/I
; wffns
Ytort paysbm dmr WM@fxfribsfs
Safh SGO[ ohk
dmmt bs peohtbcrokf
Ytort o strfhctafhbhc
prmcro`
7- ; wffns
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\rfsfrvf ohtfrbmr porotfhmh gemmksuppey
Gfworf md suroe hfrvf
Kfgrbkf ohk opprmxb`otf tfhkmh fhks
Vsf 7-; strohkfk eminfk suturf
tfiahbquf @oy ouc`fht wbta ogsmrgogef suturf
Iemsf porotfhmh sfporotfey
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Oiutf iosf : usuoeey fhk
tm fhk rfpobr bs fhmuca
Hfcefitfk iosf:
Okvohif`fht peosy (T-R)mr rfimhstruitbmh gy
mtafr tfhkmhs
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Ossfss strfhcta md rfpobr, tfhsbmh ohk
WM@ bhtro-mp.
Oppey emhc efc iost wbta ohnef bh taf efosto`muht md peohtfrdefxbmh(crovbty fqubhus)
& nhff 4< kfcrff defxbmh wbta wbhkmw ot
mpfrotfk sbtf.
Ytbtia rf`mvoe odtfr 7 wns. Yamrt efc iost odtfr 9 wns wbta portboe
fqubhus imrrfitbmh
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7 wffney peostfr iaohcf wbta
crokuoe fqubhus imrrfitbmh (;-4
fpbsmkf ).
Soenbhc wbta affe robsfk samf &
rfcueor paysbmtafropy.
Wfvfrsf ohnef stmp groif up tm 4
`mhtas.
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Oiutf rupturf md tfhkmh Oiabeefs. O prmspfitbvf rohkm`bsfk
stuky mdim`porbsmh gftwffh surcbioe ohk hmh-surcbioe trfot`fht.@meefr @, ft oe. J Gmhf Jmbht Yurc Gr. 7
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