{"id":22874,"date":"2025-07-14T12:36:36","date_gmt":"2025-07-14T12:36:36","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=22874"},"modified":"2026-07-03T12:44:06","modified_gmt":"2026-07-03T12:44:06","slug":"chirurgie-dechirures-musculaires-tendineuses","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/chirurgie-dechirures-musculaires-tendineuses\/","title":{"rendered":"Muscle and tendon tear surgery : when is surgery necessary?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Care adapted to each muscle or tendon injury<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Among athletes as well as active individuals, muscle and tendon tears are frequent and often debilitating. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">They can occur suddenly during a wrong movement or intense effort, or develop gradually on a tendon weakened by time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In most cases, conservative treatment (rest, physiotherapy, injections) is sufficient to achieve a complete recovery. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But in certain situations, particularly in cases of complete rupture or persistent functional impairment, a <a href=\"https:\/\/coulinmedical.com\/en\/traitement-chirurgical-genou-hanche\/\" data-type=\"link\" data-id=\"https:\/\/coulinmedical.com\/traitement-chirurgical-genou-hanche\/\">surgery<\/a> becomes necessary to restore function and allow a return to active life.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/DYMN5uoDdis\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/DYMN5uoDdis\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/DYMN5uoDdis\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Coulin Center of Movement (@coulinmedical)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">What is a muscle or tendon tear?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Muscle tears are a partial or complete rupture of muscle fibers, most often linked to intense or poorly planned exertion (acceleration, sprinting, sudden change of direction). They manifest as sharp pain, sometimes associated with bruising and an immediate loss of strength.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tendon tears, on the other hand, affect the tendon\u2014that essential fibrous structure that connects muscle to bone. When the tendon ruptures, it no longer transmits force, resulting in significant weakness, persistent pain, and loss of function. Certain locations are particularly prone to these tears:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Proximal hamstrings<\/strong>, during explosive efforts.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Achilles tendon<\/strong>, often among athletes or after a misstep.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rotator cuff<\/strong>&nbsp;(shoulder), affecting both athletes and manual workers.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When should surgery be considered?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin always favors conservative treatment as a first-line approach. However, surgery for muscle and tendon tears is necessary in several situations:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Complete rupture of a tendon, particularly in active or athletic patients.<\/li>\n\n\n\n<li>Muscle tear with significant retraction, massive hematoma or significant loss of strength.<\/li>\n\n\n\n<li>Failure of conservative treatment, after several weeks of rest and rehabilitation.<\/li>\n\n\n\n<li>Painful and treatment-resistant degenerative lesions (such as chronic rotator cuff tears).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An accurate assessment relies on the<a href=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" data-type=\"link\" data-id=\"https:\/\/sosgenougeneve.ch\/consultation-specialisee-genou\/\" target=\"_blank\" rel=\"noopener\">clinical examination<\/a>&nbsp;and the<a href=\"https:\/\/sosgenougeneve.ch\/imagerie-genou\/\" data-type=\"link\" data-id=\"https:\/\/sosgenougeneve.ch\/imagerie-genou\/\" target=\"_blank\" rel=\"noopener\">imaging<\/a>&nbsp;(MRI, ultrasound), which allow us to determine the severity of the lesion, its age and the optimal timeframe for surgical repair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How does the procedure with Dr. Coulin take place ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The goal of surgery is simple:&nbsp;<strong>repair, strengthen and preserve muscle and tendon function<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the location and severity, the intervention can be performed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Minimally invasive or arthroscopic<\/strong>, especially for the shoulder, to reduce scarring and promote rapid recovery.<\/li>\n\n\n\n<li><strong>By open route<\/strong>, for certain locations such as the proximal hamstrings or the Achilles tendon, where a direct procedure is necessary.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In each case, Dr. Coulin adapts the surgical technique to the patient&#039;s anatomy and functional objectives, in order to obtain a solid and lasting repair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the post-operative consequences ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The after-effects depend on the area and extent of the tear. Typically, they include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An initial immobilization period, varying according to location.<\/li>\n\n\n\n<li>A gradual rehabilitation, implemented quickly to limit stiffness.<\/li>\n\n\n\n<li>Specific work on mobility, strength and proprioception.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin works with specialized physiotherapists to ensure optimal care, allowing the patient to gradually regain normal muscle function and, if possible, a return to sport.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What results can you expect ?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Surgery for muscle and tendon tears allows for a complete or near-complete recovery in most cases. Benefits include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Disappearance of chronic pain.<\/li>\n\n\n\n<li>Restoration of muscle strength.<\/li>\n\n\n\n<li>Return to normal joint function.<\/li>\n\n\n\n<li>Gradual resumption of sporting or professional activity.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recovery time depends on the initial severity of the injury and compliance with the rehabilitation protocol. Tailored care maximizes the chances of success and reduces the risk of recurrence.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Expertise dedicated to patients<\/strong>t<strong>s assets<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Whether it concerns top athletes, physically demanding professionals or active patients wishing to regain an optimal quality of life, Dr. Coulin adapts each treatment according to the functional objective sought.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The challenge is to treat the lesion effectively, while respecting biological healing times and taking into account individual expectations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Are you suffering from a muscle or tendon tear?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Coulin will see you in Geneva to establish a precise diagnosis, analyze your examinations (MRI, ultrasound) and determine whether surgery is indicated or if conservative treatment is sufficient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thanks to specialized expertise in orthopedics and personalized care, you benefit from an adapted care pathway, aimed at a rapid and safe return to active life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Not all tears require surgery, but some cannot heal without it.<br \/>\nWhen the injury is significant or poorly healed, surgical intervention may be necessary to regain strength, mobility, and function. Here&#039;s how to assess its necessity.<\/p>","protected":false},"author":1,"featured_media":24717,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,99],"tags":[],"class_list":["post-22874","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-traumatologie"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22874","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=22874"}],"version-history":[{"count":12,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22874\/revisions"}],"predecessor-version":[{"id":25164,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22874\/revisions\/25164"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24717"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=22874"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=22874"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=22874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}