Achilles tendon rupture: Difference between revisions
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*Most frequently ruptures 2-6cm above calcaneus (where blood supply is weakest) | *Most frequently ruptures 2-6cm above calcaneus (where blood supply is weakest) | ||
*Typical pt is 30-50yr old man who participates in strenuous activities on occasional basis | *Typical pt is 30-50yr old man who participates in strenuous activities on occasional basis | ||
*Quinolone associated rupture occurs in only 12 per 100,000 treatment episodes | |||
==DDX== | ==DDX== | ||
Revision as of 17:39, 29 December 2014
Background
- Most frequently ruptures 2-6cm above calcaneus (where blood supply is weakest)
- Typical pt is 30-50yr old man who participates in strenuous activities on occasional basis
- Quinolone associated rupture occurs in only 12 per 100,000 treatment episodes
DDX
Clinical Features
- Sudden, severe pain
- Inability to run, stand on toes, or climb stairs
- Palpable gap in Achilles tendon 2-6cm proximal to calcaneus
- Thompson test
- Lay pt prone w/ knee bent at 90'
- In normal pt, squeezing calf results in plantarflexion
Treatment
- Short leg cast w/ ankle slightly plantarflexed
- Ortho referral
Source
- Tintinalli