35. Symptoms and therapy of Achilles tendon ruptures

Question 1

What are the symptoms of achilles tendon rupture?

Answer 1

sharp pain, often described as feeling like being kicked in the leg.

Question 2

What are the signs of an achiles tendon rupture?

Answer 2

• With a partial rupture, physical examination may only reveal a localized, tender area of swelling.
• With complete rupture, examination normally reveals a palpable defect in the tendon

Thompson test squeezing the calf does not cause active plantar flexion, and the patient usually is incapable of performing a single heel-raise.

Question 3

What is the treatment of achiles tendon rupture?

Answer 3

Nonoperative treatment selected for minor ruptures, less active patients

Operative:
Percutaneous: several small incisions:
* decreased dissection
* Potential entrappment of sural nerve
* Potential tendon rupture

Open surgery:
* Complete examination of injury
* Better tendon reaproximation
* Higher rates of of wound dehiscence and skin adhesion problems

Post-op management consists of a partial weight bearing short leg cast for 6 to 8 weeks.