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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Achilles Tendon Rupture

Tendon Injuries

A 42-year-old recreational tennis player presents after feeling a sudden "pop" in his calf while pushing off to serve. He describes feeling like he was kicked in the back of the leg. On examination, there is a palpable gap 5cm above the calcaneus, positive Thompson test, and increased passive dorsiflexion compared to the uninjured side. Regarding Achilles tendon rupture:

Mark each as TRUE or FALSE

A

Achilles tendon ruptures most commonly occur in the hypovascular zone 2-6cm above the calcaneal inse...

B

Clinical diagnosis includes the Thompson (Simmonds) test (squeeze calf - no plantar flexion = positi...

C

Ruptures occur at the insertion; teenagers are most commonly affected; fluoroquinolones protect the ...

D

Treatment options include surgical repair (open or percutaneous) and functional rehabilitation (non-...

E

Surgical complications include wound healing problems (especially posterior midline incision), sural...

Answer the questions to see explanations

Click T (True) or F (False) for each option