Podiatry and Medical - Set 2

Category - Podiatry Part II

In a patient with posterior ankle pain, which occurred suddenly while playing volleyball, what is the most likely diagnosis if the Thompson’s test is positive?
  1. Posterior talofibular ligament injury
  2. Achilles tenosynovitis
  3. Achilles tendon rupture
  4. Posterior talotibial dislocation
Explanation
Answer − C − In a patient with posterior ankle pain, which occurred suddenly while playing volleyball, the most likely diagnosis if the Thompson’s test is positive is Achilles tendon rupture. It is often missed by the podiatrist on initial examination and it may be misdiagnosed as an ankle sprain. Tendon rupture tends to occur with forceful dorsiflexion of the ankle.
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