Nailed It Ortho
OITE/Board Review: F&A- 15: Achilles Tendon Ruptures + Peroneal Tendon Pathology
Nov 29, 2022
Join Dr. Cole, an orthopaedic expert, and Dr. Woolwine, a seasoned practitioner, as they dive into the intricacies of Achilles tendon injuries and peroneal tendon pathology. They discuss the nuances of diagnosing and managing Achilles tendon ruptures, including both surgical and non-surgical options. Insights on differentiating various related conditions enrich the conversation. The duo also explores foot deformities, emphasizing cavus foot, and the essential role of advanced imaging in effective treatment.
24:53
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Quick takeaways
- Achilles tendon injuries often stem from high-impact activities and require specific diagnostic tests like the Thompson and Matles tests.
- Differentiating between types of Achilles tendonopathy is essential for treatment, as insertional and non-insertional cases necessitate distinct approaches.
Deep dives
Understanding Achilles Tendon Injuries
Achilles tendon injuries often arise from sudden, high-impact activities, like playing basketball, where a person may hear a loud snap and feel immediate pain in the heel. Specific tests, such as the Thompson test and the Matles test, are utilized to diagnose an acute Achilles tendon rupture by assessing for plantar flexion and comparing ankle movement. Personal experiences shared highlight that the sensation of being kicked in the heel without anyone actually behind the individual is a common description of this injury. Furthermore, imaging, such as MRI, can provide further confirmation of the rupture, illustrating potential gaps in the tendon, especially in cases involving significant injury.
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