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Achilles tendon rupture — ABEM Board MCQ

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EasyMusculoskeletal/Orthopedic emergenciesAchilles tendon ruptureABEM Board

A 37-year-old recreational basketball player arrives with sudden posterior ankle pain. Triage acuity is ESI 4; BP 128/76 mm Hg, HR 82/min. He felt as if kicked in the calf and cannot push off. Thompson test is abnormal on the affected side. Which of the following is the most likely diagnosis?

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Correct answer: BAchilles tendon rupture

Acute pop sensation, inability to push off, and abnormal Thompson test indicate Achilles tendon rupture.

Reference: Emergency sports medicine guidance