achilles tendon rupture Flashcards
1
Q
achilles tendon rupture
A
sudden onset injury resulting in rupture of achilles tendon
loss of connection between calf muscles (gastrocnemius + soleus) to the heel
2
Q
risk factors
A
sports: basketball, tennis, track athletics inc age existing achilles tendinopathy FHx fluoroquinolone antibx systemic steroids
3
Q
typical presentation
A
sudden onset pain
snapping sound + sensation
4
Q
OE
A
ankle dorsiflexed tenderness palpable gap unable to stand on tiptoes weakness of plantar flexion \+ simmonds test
5
Q
simmond’s calf squeeze test
A
normally squeeizng calf muscles will cause plantarflexion of ankle
if achilles tendon rupture, squeezing calf will not cause plantarflexion
lack of plantar flexion is positive result
6
Q
diagnosis
A
USS
7
Q
Mx - immediate management
A
rest + immobilisation
ice
elevation
analgesia
8
Q
Mx - non surgical
A
specialist boot
9
Q
Mx - surgical
A
surgical reattactment
