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دانلود رایگان کتاب A_Z of Musculoskeletal and Trauma Radiology+pdf

دانلود رایگان کتاب A_Z of Musculoskeletal and Trauma Radiology+pdf

دانلود رایگان کتاب A_Z of Musculoskeletal and Trauma Radiology+pdf

Achilles tendonopathy/rupture

Characteristics

 Describes pathology of the combined tendon of the gastro-soleus complex, which inserts onto the calcaneum

 Three stages of injury: 1 Paratenonitis. 2 Tendonosis with or without paratenonitis. 3 Rupture – partial or full. A complete tear may be acute or chronic,
sometimes with no prior symptoms.
Clinical features
 Relate to the stage of the injury:
1 Localised tenderness proximal to the insertion, and crepitus on ankle movement. 2 Tendonosisparatenonitis. Nodular thickening and degenerative change within the tendon presents as focal thickening within the tendon, which is only tender in the presence of paratenonitis. 3 Rupture – classically a middle-aged patient (M>F) who undergoes
a sudden, forceful contraction of gastro-soleus during infrequently
performed sporting activity – ‘I thought I was kicked in the back of
the leg’. The classic gap may not be palpable, but Simmonds Test will
be abnormal in the vast majority of ruptures (>95%).


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