Tendon Injuries
A 42-year-old man presents after feeling a sudden "pop" in his calf while playing social basketball. He describes feeling as if someone kicked him in the back of the leg. Examination reveals a palpable gap in the Achilles tendon 4cm above the calcaneal insertion, weak plantarflexion, and a positive Thompson test (no foot movement with calf squeeze). He is keen to return to recreational sport. Regarding Achilles tendon rupture:
Mark each as TRUE or FALSE
Achilles tendon rupture typically occurs in 30-50 year old males during sporting activity (the "week...
Clinical diagnosis includes: Thompson (Simmonds) test (squeezing calf produces plantarflexion - abse...
The Thompson test involves resisted plantarflexion; the rupture occurs at the insertion; the proxima...
Treatment options include non-operative (functional rehabilitation with early motion in brace - equi...
Surgical complications include wound breakdown (especially open repair), sural nerve injury (especia...
Answer the questions to see explanations
Click T (True) or F (False) for each option