Patient case: Achilles Tendon Rupture
A 42-year-old man presents to the emergency department after feeling a sudden, sharp pain in the back of his left ankle while playing a recreational basketball game. He describes the sensation as if someone "kicked" or "hit" the back of his leg, though no contact was made. Immediately after the incident, he was unable to push off with his left foot and had difficulty walking.
On physical examination, there is swelling and bruising around the Achilles tendon area, and a palpable gap is noted above the heel. The Thompson test is positive, confirming a complete Achilles tendon rupture. The patient has no significant past medical history and is otherwise healthy.
Given the diagnosis, the patient is counselled on the treatment options, including surgical repair versus conservative management with immobilization. After discussing the risks and benefits, the patient opts for surgical intervention to repair the tendon, followed by a structured rehabilitation program.
a). Gradual onset of ankle pain during walking
b). Feeling a sudden sharp pain during a basketball game
c). Swelling after a long run
d). Persistent numbness in the foot
a). Bruising around the ankle
b). Palpable gap above the heel
c). Decreased sensation in the foot
d). Reduced range of motion in the knee
a). Lachman’s test
b). Thompson test
c). Tinel’s sign
d). Phalen’s test
a). Corticosteroid injections
b). Physical therapy without surgery
c). Surgical repair
d). Complete immobilization for 6 months
