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Achilles tendon rupture commonly occur as an acceleration injury e.g. pushing off or jumping up. Diagnosis is made by clincal history, typically people say it feels like been kicked or shot behind the ankle, and by examination, a gap may be felt in the tendon, and Simmon's Test is positive. Simmon's Test is where on squeezing the calf of the affected side, no movement is elicted in the foot. Sometimes an ultrasound scan may be required to confirm the diagnosis. Treatment remains divided between operative and non-operative management. Non-operative management consists of restriction in an equinus plaster cast for eight weeks with the foot pointed (to oppose the ends of the ruptured tendon). Whereas on the other hand some surgeons feel an early surgical repair of the tendon is beneficial. The surgical option offers a slightly smaller risk of re-rupture, but has the attendant risks of surgery i.e. infection, bleeding etc.
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