What is Thompson test for Achilles?
A Thompson test is performed to determine if the Achilles tendon is ruptured. This is done by squeezing the calf muscles while the patient is kneeling or lying face down with feet hanging unsupported.
What is a positive Simmonds test?
The test result should be considered positive when the physical response to calf squeezing is aberrant and the foot fails to plantarflex owing to incongruity of the Achilles tendon.
What test is used to determine possible injury to the Achilles tendon?
The Thompson test examines the integrity of the Achilles tendon by squeezing the calf. It is performed as a clinical test to identify the presence of a complete Achilles rupture.
What does a positive Thompson test mean?
The feet extend farther than the end of the bed. The examiner then squeezes the calf muscle. This motion, in a normal patient, should cause the toes to point downward as the Achilles pulls the foot. In a patient with a ruptured Achilles tendon, the foot will not move. That is called a positive Thompson test.
Does xray show Achilles tendon?
Can an X-ray Show a Torn Achilles Tendon? An X-ray may show swelling of the soft tissues or another bone injury, but an ultrasound is most commonly used to diagnose a tear and document its size. An MRI may also be needed.
Is the Thompson test accurate?
The Thompson test is an accurate clinical test for diagnosing complete Achilles tendon ruptures. However, it might not be a useful test for diagnosing partial Achilles tendon ruptures.
What does a positive Thompson’s test mean?
A positive test has been reported to indicate a complete rupture of the tendon,4 and the cited mechanical reason for the positive test (complete rupture) is the loss of integrity of the soleal part of the tendon.
What is a negative Thompson test?
When squeezing the right (unaffected) calf, the ankle spontaneously plantar flexed, indicating a negative (normal) Thompson test. Upon squeeze of the left (affected) calf, the ankle did not plantar flex, signifying a positive (abnormal) Thompson test.
What are the symptoms of a strained Achilles tendon?
What are the symptoms of an Achilles tendon injury?
- Pain down the back of your leg or near your heel.
- Pain that gets worse when you’re active.
- A stiff, sore Achilles tendon when you first get up.
- Pain in the tendon the day after exercising.
- Swelling with pain that gets worse as you’re active during the day.
How does an orthopedic test for shoulder pain?
Procedure: Patient seated with elbow extended, supinated, and the shoulder flexed forward to 45°. Place your fingers in the bicipital groove and your opposite hand on the patient’s wrist. Instruct the patient to elevate the arm forward against resistance. Positive Test: Pain or tenderness in the bicipital groove.
How does the anterior slide test work for shoulder pain?
– Anterior Slide Test (Kibler) – Pt sitting with hands on hips and thumbs pointing posteriorly. Examiner places on hand on top of affected shoulder and other hand on point of elbow. Examiner then applies a forward and superior force on the elbow. Pt asked to resist this force. Pain over the front of the shoulder or a click is positive.
How to do a Thompson test for a torn Achilles tendon?
Thompson Test for Torn Achilles Tendon 1 Achilles Tendon Tears. An Achilles tendon tear occurs with the tendon that connects… 2 Performing the Thompson Test. To perform the Thompson test, the patient should lie face-down on… 3 Treatment Options. There are several options for treatment of a torn Achilles tendon .
What to look for in a shoulderdoc test?
The examiner applies downward traction on the arm by holding the wrist and distracting the arm downwards firmly but not roughly. If the shoulder is interiorly unstable, a sulcus will appear between the acromion and the humeral head (Figure 2.15). This sulcus is both visible and palpable.