Tendon Rupture

Question 1

Mallet finger

Answer 1

Extensor tendon of distal phalanx
Sudden blow to extended finger
Splint for 6 wks in slight hyper-extension

Question 2

Boutonnière deformity

Answer 2

Central slip of extensor tendon at base of middle phalanx ruptured allowing lateral slips to flex PIP, DIP hyperextended
Follows injury or 2˚ to RA
Splint PIP in complete extension allowing DIP/MCP movement

Question 3

Calcaneal tendon rupture presentation and test

Answer 3

Feels like kick to back of leg, audible snap

Squeeze test of gastrocnemius

Question 4

Quadricep expansion rupture presentation

Answer 4

Rare, may be direct blow or indirect (sudden contraction)

Question 5

Distal biceps rupture

Answer 5

Tearing/popping with pain in antecubital fossa

Needs urgent surgical repair

Question 6

Pes planus

Answer 6

Flat feet
Normal when child learning to walk
In adults associated with posterior tibialis tendon dysfunction

Question 7

Pes cavus

Answer 7

Idiopathic or associated with neuro condition

Claw toes may develop to ease weight on metatarsal heads

Question 8

Calcaneal tendon rupture treatment

Answer 8

Open tendon repair in young/athletic

Casting for smokers/diabetics/>50 yrs in equinus position with no weight-bearing 6-8 wks

Question 9

Quadricep expansion rupture RFs

Answer 9

Jumper's knee
Steroid abuse
Pseudogout
Wilson's disease
Renal failure with hyperPT

Question 10

Quadricep expansion rupture treatment

Answer 10

Surgical repair if no knee extension possible, >4 wks immobilisation post-surgery with weightbearing + physio