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Achilles tendon rupture — RCPSC EM MCQ

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EasyMusculoskeletalAchilles tendon ruptureRCPSC EM

CTAS 4. A 38-year-old feels a pop in the calf while playing squash. He cannot push off and has a palpable gap above the heel. Thompson test is positive. X-ray shows no fracture. What is the most likely diagnosis?

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Correct answer: A — Achilles tendon rupture

A pop, palpable tendon gap, weak plantarflexion, and positive Thompson test indicate Achilles tendon rupture.

Reference: Canadian Orthopaedic Association foot and ankle resources