T&O: Achilles tendonitis and rupture Flashcards
Which abx prescribed for a UTI can increase the risk of Achilles tendinopathy and tendon rupture?
Ciprofloxacin
How does achilles tendonitis present?
Gradual onset posterior ankle pain, tenderness over the tendon and swollen tendon
How would you manage achilles tendonitis
NSAIDS, avoid precipitating exercise and RICE
How does achilles tendon rupture present?
Sudden onset of sharp pain with a popping sound and feeling as though something ‘went’
What are the risk factors for achilles tendonitis/ rupture
Tendonitis: someone unfit who suddenly increases exercise frequency, male, poor footwear, obesity .
Rupture is associated with recent use of flouroquinolones
How would you manage an achilles tendon rupture
Initial management: analgesia, immobilisation, in a plastered splint in full equines and no weight bearing, then 2 weeks later, held in a splint in semi equines and then 4 weeks later held in splint in neutral position
If delayed presentation, surgical intervention
When is surgery indicated in achilles tendon rupture?
When there is a delayed presentation of greater than 2 weeks or when there is a re-rupture
How do you perform the Simmonds test
Patient kneeling on chair with affected ankle hanging off the end of the chair. Squeeze the calf on affected side. If there is ankle plantar flexion, the tendon is intact, if there is no ankle plantar flexion then the tendon is not intact
When would you perform the Simmonds test aka thompson test?
To test for achilles tendon rupture
