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

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.”