Foot Disorders - Achilles Tendon Rupture

Question 1

What is Achilles Tendon Rupture?

Answer 1

Sudden onset injury resulting in rupture of the tendon and a loss of connection between the calves and the heel.

Question 2

Risk Factors of Achilles Tendon Rupture (6).

Answer 2

1. Sports Stressing Achilles.
2. Increasing Age.
3. Existing Achilles Tendinopathy.
4. Family History.
5. Fluoroquinolone Antibiotics (within 48 hours).
6. Systemic Steroids.

Question 3

Clinical Presentation of Achilles Tendon Rupture (3).

Answer 3

1. Sudden Onset Pain.
2. Snapping Sound/Sensation.
3. Feeling as if something hit them at the back of their leg.

Question 4

Examination Findings of Achilles Tendon Rupture (3).

Answer 4

1. Simmond’s Calf Squeeze Test Positive.
2. Dorsiflexed Ankle.
3. Difficulty Plantarflexing.

Question 5

Investigation of Achilles Tendon Rupture.

Answer 5

Investigation of Choice : Ultrasound.

Question 6

Immediate Management of Achilles Tendon Rupture (5).

Answer 6

1. Rest.
2. Ice.
3. Elevation.
4. Analgesia.
5. Immobilisation and VTE Prophylaxis.

Question 7

Non-Surgical Management.

Answer 7

Specialist boot that is used to gradually heal the Achilles Tendon - 6-12 weeks.

Question 8

Surgical Management.

Answer 8

Surgical reattachment of the Achilles.