Monday, May 5, 2008

Iliad

A 20 year old basketball player reports hearing a "pop" at the back of his heel after landing. There was an intense pain; the patient says he thought someone had hit him with a bat. With the patient prone and foot hanging off the table, squeezing the gastrocnemius does not cause plantarflexion (it does on the unaffected side).

Challenge: This classic history with this special test point to the diagnosis what?
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4 comments:

  1. AnonymousMay 5, 2008 at 6:46 AM

    Achilles tendon rupture

    (although I admit that I had an unfair advantage... like insider trading :P)

    ReplyDelete
  2. Emily HMay 5, 2008 at 8:27 AM

    achilles tendon rupture, i should know!

    ReplyDelete
  3. AlexMay 5, 2008 at 2:24 PM

    torn achilles?

    ReplyDelete
  4. CraigMay 7, 2008 at 10:18 PM

    haha good job! guess this one was a bit easier.
    -
    Iliad

    This is a Achilles tendon rupture; the test is the Thompson test.

    Source: UpToDate.

    ReplyDelete

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