Soft Tissue Injuries
A 42-year-old man presents to the emergency department after hearing a "pop" in his ankle while playing basketball. He felt like he was kicked in the back of the leg. He is unable to stand on his toes on the affected side. On examination, there is a palpable gap 4cm proximal to the calcaneal insertion, and the Thompson test is positive. Regarding Achilles tendon rupture:
Mark each as TRUE or FALSE
Achilles tendon rupture typically occurs 2-6cm proximal to calcaneal insertion in the "watershed" zo...
Clinical diagnosis: Thompson test (Simmonds test) - squeezing the calf fails to produce ankle planta...
All Achilles ruptures require surgical repair; non-operative treatment has unacceptable re-rupture r...
Treatment options: non-operative (functional bracing with early controlled motion has re-rupture rat...
Complications: re-rupture (2-4% surgical, 4-12% non-operative with early protocols), sural nerve inj...
Answer the questions to see explanations
Click T (True) or F (False) for each option