Clinical features

presentation

Typical patient will present with the following complains:

• sudden onset of pain in the posterior aspect of the foot and ankle or feeling a sudden painful blow to the heel
  • the patient may describe the sensation as been kicked or hit on the back of the heel tendon by a ball or racquet
• sometimes accompanied by an audible snap
• occurs during physical activity which requires forceful plantar flexion (1,2)

Patients may complain of a residual calf ache, mild bruising, swelling, and a weakness in “pushing off” with the affected foot (2).

On examination, there is swelling, tenderness and bruising around the tendon. At the point of maximal tenderness, a defect may be felt. Frequently, this occurs at about 5 cm above the insertion of the Achilles tendon.

Reference:

• (1) Gulati V et al. Management of achilles tendon injury: A current concepts systematic review. World J Orthop. 2015;6(4):380-6.
• (2) Singh D. Acute Achilles tendon rupture. BMJ. 2015;351:h4722.