Heel pathologies

Question 1

Describe Achilles tendon pathology

Answer 1

TENDINOPATHY - overuse injury characterised by pain + loss of function

RUPTURE - Tears of tendon fibres cause acute inflammatory response

Question 2

Diagnosis Achilles tendon pathology

Answer 2

TENDINOPATHY
-morning stiffness + pain
-symptoms often begin at start of activity but ease with movement
-possible palpable nodule at mid portion of tendon
-swelling may be present

RUPTURE
-positive thomson test
-difficult to PF
- palpable defect may be detected

Question 3

Describe Severs disease

Answer 3

Heel pain in growing children

Question 4

Diagnosis Severs disease

Answer 4

CLINICAL
-activity-related pain
-localised tenderness on palpation at insertion of anterior tibialis into heel
-Limp
-walking on toes

RADIOLOGICAL
not required