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Simmonds' Test
The Thompson test (also called Simmonds' test or Simmonds-Thompson test) is used in lower limb examination to test for the Achilles tendon rupture, rupture of the Achilles tendon. The patient lies face down with feet hanging off the edge of the bed. If the test is positive, there is no movement of the foot (normally plantarflexion) on squeezing the corresponding calf, signifying likely rupture of the Achilles tendon. Interpretation of results Recent research has indicated that while the test is an accurate detector of achilles rupture, it is unable to distinguish between partial tear (tear of the gastrocnemius or soleal portion only) and a complete tear of both portions. History The test is named after Franklin Adin Simmonds (1910-1983), an English Orthopedic surgeon, orthopaedic surgeon at the Rowley Bristow Hospital, Surrey. References {{Orthopedic examination, state=autocollapse Medical signs Musculoskeletal examination ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Achilles Tendon Rupture
Achilles tendon rupture is when the Achilles tendon, at the back of the ankle, breaks. Symptoms include the sudden onset of sharp pain in the heel. A snapping sound may be heard as the tendon breaks and walking becomes difficult. Rupture typically occurs as a result of a sudden bending up of the foot when the calf muscle is engaged, direct trauma, or long-standing tendonitis. Other risk factors include the use of fluoroquinolones, a significant change in exercise, rheumatoid arthritis, gout, or corticosteroid use. Diagnosis is typically based on symptoms and examination and supported by medical imaging. Prevention may include stretching before activity and gradual progression of exercise intensity. Treatment may consist of surgical repair or conservative management. Quick return to weight bearing (within 4 weeks) appears okay and is often recommended. While surgery traditionally results in a small decrease in the risk of re-rupture, the risk of other complications is greater. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
