Achilles tendon rupture Flashcards
1
Q
WHp is achilles tendon rupture seen in?
A
29-40yo mainly
Men>women
2
Q
What can cause achilles tendon rupture?
A
Direct trauma
Sudden plantar or dorsiflexion of food
Longstanding tendonitis
3
Q
What are the risk factors for achilles rupture?
A
Athletes >60s Corticosteroids or quinolone antibiotics Kidney disease Previous tendon injection or rupture
4
Q
What is the presentation of achilles tendon rupture?
A
Sudden onset sharp pain in the heel- can feel like a kick or bullet, snapping sound
Difficulty walking
5
Q
How is achilles tendon rupture diagnosed?
A
Simmonds triad
Imaging usually unnecessary
6
Q
What is Simmonds triad?
A
With patient lying prone in bed
- angle of declination= dorsiflexed
- gap felt above heel
- calf squeeze
- – += instant
- – No movement= rupture
7
Q
What is the management of achilles tendon rupture?
A
Conservative -cast= foot in dorsiflexion -boot= foot supported in dorsiflexion by wedges, decreasing the angle Rarely surgical Physio
8
Q
What is the indication for surgery for achilles tendon rupture?
A
Very active
