Painful heel during playing badminton

This patient complained painful heel while landing after a jump.
This patient was unable to walk due to painful heel.
No other associated injury during this event.
Thompson test is positive.

This video is taken using Vscan, a pocket-sized ultrasound.
Using linear part and placing transducer on long axis of Achilles tendon.
You can see separation of Achilles tendon on passive plantar dorsiflexion.
You can also scan contralateral Achilles tendon for better comparison.

In addition to physical examination,
our major goal of POCUS is to confirm complete Achilles tendon rupture. 

Take Home Message
1. Linear transducer & Long axis scan 
2. Separation of Achilles tendon 
3. Passive plantar flexion and dorsiflexion

 

 

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