Episode Summary
Take Home Points
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.
Schedule follow up with orthopedics within 1 week for discussion of operative management vs early rehab protocols.
REBEL Core Cast 116.0 – Achilles Tendon Rupture
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Achilles Tendon Rupture Exam (www.lfaclinic.co.uk)
Physical Exam
May have palpable gap or deformity in region of tendon.
Weakness with plantar flexion.
Increased resting ankle dorsiflexion on affected side in prone position with knees bent .
Usually in absence of bony tenderness unless accompanied by other injury
Thompson Test (video)
Place the patient in the prone position, with feet hanging over the end of a stretcher or table. If patient is not able to la