Tendon Injuries
A 42-year-old recreational tennis player presents after feeling a sudden "pop" in his left calf during a match. He reports feeling like he was struck from behind. Examination reveals a palpable gap 4-6cm proximal to the calcaneal insertion, increased passive ankle dorsiflexion compared to the opposite side, and an absent Thompson test (calf squeeze does not produce plantarflexion). Regarding Achilles tendon rupture:
Mark each as TRUE or FALSE
Achilles tendon rupture typically occurs 2-6cm proximal to the calcaneal insertion (hypovascular wat...
Clinical examination includes palpable gap (60-70% sensitivity), Thompson/Simmonds test (calf squeez...
Rupture typically occurs at the calcaneal insertion; peak incidence is in females over 60; fluoroqui...
Treatment options include operative repair (open or minimally invasive) and functional non-operative...
Operative treatment may be preferred in young active patients, elite athletes, delayed presentation ...
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Click T (True) or F (False) for each option