Achilles Tendinopathy

Question 1

what age is achilles tendo rupture common at

Answer 1

middle age

Question 2

what is the usual history for achilles tendon rupture

Answer 2

sudden acceleration/deceleration when running/squash

Question 3

how is achilles tendon rupture described by patients

Answer 3

feels as if have been kicked or shot in calf

Question 4

what are some predisposing factors to achilles tendon rupture

Answer 4

rheumatoid arthritis, tendonitis, steroids

Question 5

what clinical findings are seen with achilles tendon rupture

Answer 5

palpable gap, unable to tiptoe stand, Simmond’s test +ve

Question 6

what investigations are used for achilles tendon rupture

Answer 6

USS and MRI

Question 7

what treatment can be used for achilles tendon

Answer 7

plaster/casting, or surgical repair

Question 8

describe Simmond’s test

Answer 8

patient lies front down with foot off bed, squeeze calf and foot should plantar flex, if not the achilles tendon is ruptured