Jan
20
Filed Under (diagnosis) by 2ndtimer on 20-01-2010 and tagged

all you need to know about ATR:

http://www.medscape.com/viewarticle/408535

“about 25% of Achilles tendon ruptures are missed during the patient’s first visit…. if  swelling is present, it can obliterate any palpable defect. The physician may incorrectly diagnose a “partial tear” if the patient can still plantarflex his ankle. This paradox is due to the functional flexor hallucis longus, flexor digitorum longus, posterior tibial, and peroneal tendons. These pitfalls can be avoided by using a few simple tests. First, the patient should be instructed to perform repetitive heel rises.”

Comments

maryk on 20 January, 2010 at 9:12 pm #

Mine was missed during the first visit. And my presentation was CLASSIC. But the doctor at the urgent care didn’t do any sort of test at all. Just crutches and a referral.


chocolata on 25 February, 2010 at 12:38 pm #

Hi 2ndtimer!
I’ve read through your blog and have had a chance to see your nicely healing AT and growing muscles in your leg. :) Well done!

After reading the quote above, I thought I needed to educate myself more to make sure that I could avoid every pitfall.


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