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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
USE ULTRASOUND, DON'T MISS THE RUPTURE
Author
Rohat Ak1*, Tuba C. Ozturk1, Hasan Demir1, Ozlem Kusken1, Kemal Aygun1, Ozge Onur1
Email
rohatakmd@gmail.com
keyword
Achilles Tendon, Ultrasound, Rupture, Sports Injury, Emergency
Abstract
In emergency clinical practice, foot and ankle trauma are usually seen. Achilles tendon injury is one of the most common sport-related injuries frequently observed in athletes who are participating in activities such as running and jumping. A 32-year-old man presented to ED with acute onset of severe left leg pain started an hour ago while playing football. Pain was located at the posterior aspect of the ankle. Ultrasound was performed with linear probe (10 Mhz). First USG of right ankle examined and normal findings seen. Bed-side USG of left ankle revealed a hypoechoic gap as a complete disruption of the fibrillar appearance of the tendon approximately 6 cm from calcaneal insertion site with retraction of the torn ends consistent with full-thickness rupture of the Achilles tendon. The patient was discharged with splint and crutches. This case illustrates the use of ultrasonography in the evaluation of suspected tendon rupture especially with limited physical examination. Point-of-care ultrasound can potentially avoid misdiagnosis.
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