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OrthoVellum

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Foot & Ankle
intermediate
X-Type

Achilles Tendon Rupture Treatment

Soft Tissue Injuries

A 42-year-old recreational tennis player presents after feeling a sudden "pop" in his calf while lunging for a shot. He reports feeling like he was kicked in the back of the leg. Examination reveals a palpable gap 4-6cm above the calcaneal insertion, positive Thompson test, and decreased plantarflexion strength. He is keen to return to tennis as soon as safely possible. Regarding Achilles tendon rupture:

Mark each as TRUE or FALSE

A

Acute Achilles rupture typically occurs 2-6cm above the calcaneal insertion in the "watershed zone" ...

B

Clinical examination includes the Thompson (Simmonds) test (squeezing calf should produce plantarfle...

C

Achilles ruptures typically occur at the calcaneal insertion; the Thompson test is positive when the...

D

Treatment options include non-operative (functional rehabilitation with early motion and weight-bear...

E

Non-operative treatment requires equinus casting or bracing initially with progressive dorsiflexion ...

Answer the questions to see explanations

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