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OrthoVellum

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Sports Medicine
intermediate
X-Type

Achilles Tendon Rupture Thompson

Ankle Tendon Injury

A 42-year-old man presents after feeling a sudden "pop" in his calf while playing recreational basketball. He describes a sensation of being kicked from behind but no one touched him. Examination reveals a palpable gap in the Achilles tendon 4cm above the calcaneal insertion, weakness of plantarflexion, and absence of plantarflexion when the calf is squeezed. He can still weakly plantarflex using accessory muscles. Regarding Achilles tendon rupture:

Mark each as TRUE or FALSE

A

Achilles tendon rupture typically occurs 2-6cm proximal to the calcaneal insertion in the hypovascul...

B

Clinical diagnosis can be made with the Thompson (Simmonds) test: squeezing the calf should produce ...

C

Ruptures typically occur at the musculotendinous junction; women are more commonly affected; the Tho...

D

Treatment options include non-operative (functional rehabilitation with early controlled motion in a...

E

Operative techniques include open repair, minimally invasive repair, and percutaneous repair; compli...

Answer the questions to see explanations

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