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Achilles tendon rupture — MSRA MCQ

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ModerateAnkle and FootAchilles tendon ruptureMSRA

A 33-year-old footballer is 10 weeks after Achilles rupture treated in a functional brace. He can walk without pain but has marked calf weakness and cannot perform a single-leg heel raise. What is the most appropriate return-to-play decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Delay running progression until calf strength and heel-rise capacity improve

Achilles return to sport is criterion-based and requires progressive strength, heel-rise capacity and plyometric tolerance. Pain-free walking is an early milestone, not a return-to-sport criterion. Premature high-speed loading risks elongation or re-rupture.

Reference: BJSM/JOSPT Achilles guidance