Orthonotes
Orthonotes
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v3.0 Fusion
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Achilles Tendinopathy & Rupture

Achilles tendon is most frequently injured tendon; common in athletes and middle-aged weekend warriors. Tendinopathy: degenerative process due to overuse, poor vascularity, fluoroquinolone/steroid use. Acute rupture: sudden pop, pain, inability to plantarflex; positive Thompson test. Imaging: USG/MRI confirm diagnosis, assess tendon gap/degeneration. Management: Tendinopathy—eccentric exercises, activity modification, PRP/shockwave. Rupture—conservative functional bracing or surgical repair depending on activity level.

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Achilles tendon is most frequently injured tendon; common in athletes and middle-aged weekend warriors. Tendinopathy: degenerative process due to overuse, poor vascularity, fluoroquinolone/steroid use. Acute rupture: sudden pop, pain, inability to plantarflex; positive Thompson test. Imaging: USG/MRI confirm diagnosis, assess tendon gap/degeneration. Management: Tendinopathy—eccentric exercises, activity modification, PRP/shockwave. Rupture—conservative functional bracing or surgical repair depending on activity level.
MCQs

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Question 1

What is the most common mechanism of acute Achilles tendon rupture?

Question 2

Which of the following is a distinguishing feature of non-insertional Achilles tendinopathy?

Question 3

What is the first-line treatment for non-insertional Achilles tendinopathy?

Question 4

What imaging modality is most useful for confirming a complete Achilles tendon rupture?

Question 5

Which of the following is contraindicated in the treatment of insertional Achilles tendinopathy?

Question 6

What is the primary reason corticosteroid injections should be avoided in the management of Achilles tendinopathy?

Question 7

What is the typical age range for peak incidence of Achilles tendon rupture?

Question 8

In the context of Achilles tendinopathy, what does the term 'watershed zone' refer to?

Question 9

What is the expected outcome of eccentric loading exercises for non-insertional Achilles tendinopathy?

Question 10

Which test is positive in the diagnosis of Achilles tendon rupture?