Achilles Tendon Injury Examination - Clinical Skills - Dr Gill
The Achilles tendon is a frequently damaged part of the leg, with injuries occurring in 25 to 100,000 people per year in the realms of sports and athletics, and seven and 100,000 people per year otherwise. One of the crucial things is that a killer tendon rupture is picked up and acted upon swiftly, as, without adequate intervention, a torn Hill is tender may go from a grade to needing a relatively straightforward operation, to a grade 4 or an injury of neglect
Keeping in mind as our role as clinicians, is to help patients achieve their desired activities, if they kill his tendon tear is messed, this can have significant implications for variability even to walk unaffected
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Hello, my name's Dr. Gil. Uh, I've been
asked to have a chat with you today
about apparently you've hurt your ankle.
Before we start, can we please confirm
your name and date of birth? Tavaris
Alvie, 12th of January 2000. Super. So,
what's happened with regard to your
ankle? So, I was going for a run
yesterday and while running, I just felt
a pop my right leg. just don't really
know how to describe it, but I was
running and all of a sudden there was a
sharp pain and I heard sort of like a
pop sound and that was it. Okay. So,
based on that, we're going to have a
look to see if there's any injuries uh
with the Achilles tendon. So, everyone
just get you to walk uh to start off
with for
me. Okay. So, there's an ever so slight
limp there doing the five
paces. Okay. So, if I can get you to
take your um socks and shoes off um and
I'm going to see um how your feet have
changed, if anything, with regard to
power. Sure. So, we're just going to
have a look at the power of your feet.
If I can get you to try and stand on tip
toe on your right foot, please.
Okay. Um and if you could try and stand
on tip toe on your left foot, please.
Okay. So, you've got a distinct
difference in power there. Certainly, we
don't seem to be able to move the right
foot up. I'm going just get you to um
kneel on the couch for me, please.
So, just pressing over the calf. Tell me
if there's any pain at all. Just a
slight bit of pain on the right one.
Okay. So, some discomfort here. Okay.
So, there's a bit of swelling there, but
I can't feel a good step. Okay. Okay.
I'm going to do the same again over
here. Tell me if there's any pain or
tenderness. No, seems to be fine. Okay.
I'm just going to do the same as we did
with getting you to standing. So, I'm
just going to push against your foot.
So, you try and push away for me. Okay.
So, you're able to move the foot, but it
is certainly weaker. We're going to do
the same again on this side. So, push
away for me. Okay. You've got you've got
much more strength over there. So, on
the unaffected leg, I'm just going to
squeeze the calf. Okay. And we've got a
good movement the foot there. And if I
squeeze the calf over here, we've still
got a good movement there at the calf.
But did that cause any pain with it?
Slightly. Yes. Okay. So, um I'll ask you
to step down, please.
So from the examination there, we've
certainly found that discomfort with
regard to your calf and that calf's a
little bit weak. So it could be that
we've got a partial tear there of your
Achilles tendon. What we're going to do
is we're going to get you an ultrasound
to determine exactly what's going on.
And then likely this will be something
that we'll get treated with the physio,
but it might need a little bit of
immobilization. We'll know that once
we've got the uh ultrasound. Have you
got any questions myself at the moment?
No, that's fine. Super. Let's go get you
around. Get you assessed. Thank you.
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