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Dec 19, 2023 · Achilles Tendon Ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot, most commonly associated with sporting events. Diagnosis can be made clinically with weakness of plantarflexion with a positive Thompson's test.
Sep 3, 2018 · Achilles tendon rupture is a clinical diagnosis. The Thompson Test should be applied in all suspected cases; Remember to brace or splint a rupture, even if suspected, in the resting equinus position for optimal healing and prevention of further injury
Aug 17, 2023 · Last Update: August 17, 2023. Go to: Continuing Education Activity. Achilles tendon rupture is the most common tendon rupture in the lower extremity. The injury most commonly occurs in adults in their third to fifth decade of life.
- Alan G. Shamrock, Matthew Varacallo
- 2023/08/17
- 2021
Achilles tendon tears often occur from an injury to the tendon. The tears can be treated without surgery at times; however, a surgeon may recommend surgery to repair the tendon. Anatomy
- Clinical Presentation
- Diagnosis
- Imaging
- Treatment
The Achilles tendon is the largest and strongest tendon in the body (Figure 1). It functions to transfer "push-off" force for the calf muscles to the heel bone. This force can be three to six times the body's weight for activities such as walking, running, and jumping. Rupture of the Achilles tendon commonly occurs in individuals in their 30s, 40s,...
The diagnosis of an Achilles tendon rupture is made entirely on physical examination. Usually, there is a defect in the Achilles tendon at the site of the rupture that can be felt by lightly palpating the area. However, the main test is to determine whether the Achilles has been ruptured is the Thompson test. This essentially involves placing the p...
Plain x-rays may show an irregular appearance of the shadow that represents the Achilles on a side view (lateral view). However, more commonly plain x-rays are normal as the injury is to the tendon and therefore does not affect the bones of the joint of the foot. The rupture can be seen on ultrasound or MRI, but, these studies are not necessary for...
Achilles tendon ruptures can be treated non-operatively or operatively. Both of these treatment approaches have advantages and disadvantages. Recent studies suggest that non-surgical and surgical treatment of Achilles tendon ruptures produce equivalent results. However, the decision of how an Achilles tendon rupture should be treated needs to be ba...
It is designed for rehabilitation following an acute Achilles rupture. Modifications to this guideline may be necessary depending on physician-specific instruction, specific tissue healing timeline, chronicity of injury and other contributing impairments that need to be addressed. This evidence-based rehabilitation guideline is criterion-based.
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What are the symptoms? When a rupture of the Achilles tendon occurs, you may experience a sudden pain in your heel or calf. The pain may then settle to a dull ache or it may go completely. This can be associated with a snapping or popping sound.
